Provider Demographics
NPI:1629408083
Name:DIGESTIVE DISEASE ASSOCIATES PC
Entity Type:Organization
Organization Name:DIGESTIVE DISEASE ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:R
Authorized Official - Last Name:BRINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-271-1205
Mailing Address - Street 1:451 SAINT LUKES DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-7107
Mailing Address - Country:US
Mailing Address - Phone:334-271-1205
Mailing Address - Fax:334-271-1204
Practice Address - Street 1:451 SAINT LUKES DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-7107
Practice Address - Country:US
Practice Address - Phone:334-271-1205
Practice Address - Fax:334-271-1204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty