Provider Demographics
NPI:1679649966
Name:BARBARA J BRINER DO PLC
Entity Type:Organization
Organization Name:BARBARA J BRINER DO PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OSTEOPATHIC PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRINER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:517-703-1800
Mailing Address - Street 1:6639 CENTURION DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-8273
Mailing Address - Country:US
Mailing Address - Phone:517-703-1800
Mailing Address - Fax:517-703-1881
Practice Address - Street 1:6639 CENTURION DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-8273
Practice Address - Country:US
Practice Address - Phone:517-703-1800
Practice Address - Fax:517-703-1881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
P2178000Medicare ID - Type Unspecified
E37524Medicare UPIN