Provider Demographics
NPI:1295180495
Name:PURYEAR, BRENNEN (DO)
Entity type:Individual
Prefix:DR
First Name:BRENNEN
Middle Name:
Last Name:PURYEAR
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 WHISPERING OAKS
Mailing Address - Street 2:
Mailing Address - City:CHINA SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:76633-3507
Mailing Address - Country:US
Mailing Address - Phone:512-203-5935
Mailing Address - Fax:
Practice Address - Street 1:250 WHISPERING OAKS
Practice Address - Street 2:
Practice Address - City:CHINA SPRING
Practice Address - State:TX
Practice Address - Zip Code:76633-3507
Practice Address - Country:US
Practice Address - Phone:512-203-5935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-26
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR8258207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine