Provider Demographics
NPI:1649575192
Name:BRINKERHOFF, JARED GROVES (DO)
Entity Type:Individual
Prefix:MR
First Name:JARED
Middle Name:GROVES
Last Name:BRINKERHOFF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 402 BOX 323 APO AE
Mailing Address - Street 2:
Mailing Address - City:LANDSTUHL
Mailing Address - State:KAISERSLAUTERN
Mailing Address - Zip Code:66849
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:DR HITZELBERGER ST
Practice Address - Street 2:
Practice Address - City:LANDSTUHL
Practice Address - State:KAISERSLAUTERN
Practice Address - Zip Code:66849
Practice Address - Country:DE
Practice Address - Phone:496-371-9464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-13
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4058111N00000X
IN02004909A207Q00000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No111N00000XChiropractic ProvidersChiropractor
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine