National Provider Identifier
Bruce John Brennan
Bruce John Brennan is listed in the NPPES registry with a primary specialty of Registered Dietitian in Elmira, NY and a listed phone number of (607) 732-5646.
Profile Overview
- NPI
- 1669117032
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- May 01, 2022
- Last Updated
- May 01, 2022
Practice Location
- 1003 Walnut St
- Elmira, NY 14901-1007
Phone: (607) 732-5646
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1669117032
- Entity Type
- Individual
- Last Name
- Brennan
- First Name
- Bruce
- Middle Name
- John
- Mailing Street Address
- 1003 Walnut St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-1007
- Mailing Country
- US
- Mailing Phone
- (607) 732-5646
- Mailing Fax
- (607) 732-0373
- Practice Street Address
- 1003 Walnut St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-1007
- Practice Country
- US
- Practice Phone
- (607) 732-5646
- Practice Fax
- (607) 732-0373
- Enumeration Date
- May 01, 2022
- Last Updated
- May 01, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 01, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)
- Other Identifiers
- 1457010910 (NPI)