NPI 1417210352 BRETT R TIDWELL DO PENSACOLA FL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Brett R Tidwell - NPI: 1417210352

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: BRETT R TIDWELL
NPI Number: 1417210352
Entity Type Code: Individual (1)
Gender: M
Credentials: DO
License Number: OS13152
Business Practice Address: 27 Mack Bayou Loop
Ste 2000 Santa Rosa Beach, FL - 324592613
Business Phone Number: 8502672961
Business Fax Number: 8506225634
Mailing Address: Po Box 2699, Attn: Shmg/hpe
PENSACOLA
State: FL
Postal Code: 325132699
Phone Number: 8502672961
Fax Number: 8506225634
NPI Enumeration Date: 06/15/2012
NPI Last Update Date: 03/14/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 207V00000X
License Number: OS13152
Healthcare Provider Taxonomy:
(Secondary)
Y
State: FL
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Obstetrics & Gynecology
Taxonomy Specialization:
Taxonomy Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.


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