Provider Demographics
NPI:1609282904
Name:BRENT SPRINKLE DO PLLC
Entity Type:Organization
Organization Name:BRENT SPRINKLE DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DO
Authorized Official - Prefix:
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:BRENT
Authorized Official - Last Name:SPRINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-225-3542
Mailing Address - Street 1:510 LORNA SQ
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35216-5480
Mailing Address - Country:US
Mailing Address - Phone:877-225-3542
Mailing Address - Fax:877-638-9903
Practice Address - Street 1:6020 RANCH DR STE C5
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-4635
Practice Address - Country:US
Practice Address - Phone:877-225-3542
Practice Address - Fax:877-638-9903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty