Provider Demographics
NPI:1639332000
Name:BITTEL, BRENNEN LEIGH (DO)
Entity Type:Individual
Prefix:
First Name:BRENNEN
Middle Name:LEIGH
Last Name:BITTEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BRENNEN
Other - Middle Name:LEIGH
Other - Last Name:SEIFERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:MAILSTOP 2012
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-0001
Mailing Address - Country:US
Mailing Address - Phone:913-588-6970
Mailing Address - Fax:913-588-6965
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:MAILSTOP 2012
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-6970
Practice Address - Fax:913-588-6965
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05358822084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology