Provider Demographics
NPI:1841221603
Name:BRINSER, EARL HERSHEY (DO)
Entity Type:Individual
Prefix:
First Name:EARL
Middle Name:HERSHEY
Last Name:BRINSER
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 1:405 CUMBERLAND ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-5371
Mailing Address - Country:US
Mailing Address - Phone:717-272-7321
Mailing Address - Fax:
Practice Address - Street 1:405 CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-5371
Practice Address - Country:US
Practice Address - Phone:717-272-5395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS004430L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA156750OtherHIGHMARK BLUE SHIELD
PA01660501OtherCAPITAL BLUE CROSS
PAD98733Medicare UPIN
PA156750OtherHIGHMARK BLUE SHIELD