Provider Demographics
NPI:1871825414
Name:THOMAS E BRINEGAR P C
Entity type:Organization
Organization Name:THOMAS E BRINEGAR P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:BRINEGAR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:276-326-3386
Mailing Address - Street 1:PO BOX 1006
Mailing Address - Street 2:
Mailing Address - City:BLUEFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:24605-4006
Mailing Address - Country:US
Mailing Address - Phone:276-326-3386
Mailing Address - Fax:276-322-4174
Practice Address - Street 1:112 SPRUCE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:BLUEFIELD
Practice Address - State:VA
Practice Address - Zip Code:24605-1756
Practice Address - Country:US
Practice Address - Phone:276-326-3386
Practice Address - Fax:276-322-4174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102036856207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty