Provider Demographics
NPI:1871584177
Name:BRINKER, NANCY K (DO)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:K
Last Name:BRINKER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:401 S BALLENGER HWY
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3638
Mailing Address - Country:US
Mailing Address - Phone:810-342-1000
Mailing Address - Fax:810-342-1590
Practice Address - Street 1:1254 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-1343
Practice Address - Country:US
Practice Address - Phone:810-664-4531
Practice Address - Fax:810-667-7337
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101008567207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4228243Medicaid
MI5956232OtherAETNA
MIE26439OtherHEALTH ALLIANCE PLAN
MI080D410020OtherBLUE CARE NETWORK
MIC7243OtherMCARE
MI010057833OtherMETRAHEALTH
MI253058OtherMCLAREN HEALTH PLAN
MI253058OtherHEALTH ADVANTAGE NETWORK
MI6078079003OtherCIGNA
MI0983411OtherHEALTH PLUS
MI080D410020OtherCOMMUNITY BLUE
MI0154400155OtherBLUE CROSS INDIVIDUAL
MI080D410020OtherBLUE CROSS BLUE SHIELD
MI080D410020OtherBLUE CROSS POS
MI0M28430035Medicare UPIN
MIE26439OtherHEALTH ALLIANCE PLAN
MI4228243Medicaid