Provider Demographics
NPI:1144596701
Name:THIEL, BRENT (MD)
Entity Type:Individual
Prefix:DR
First Name:BRENT
Middle Name:
Last Name:THIEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:200 LOTHROP ST
Mailing Address - Street 2:MUH WEST 933
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2536
Mailing Address - Country:US
Mailing Address - Phone:412-692-4888
Mailing Address - Fax:412-692-4499
Practice Address - Street 1:2397 MOUNTAIN VIEW DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15122-2445
Practice Address - Country:US
Practice Address - Phone:412-692-4888
Practice Address - Fax:412-693-1279
Is Sole Proprietor?:No
Enumeration Date:2012-03-28
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD454789207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine