National Provider Identifier

Brent S. Ingerick, DO

Brent S. Ingerick, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Elmira, NY and a listed phone number of (607) 734-3929.

NPI 1669440707Elmira, NYFamily Medicine Physician

Profile Overview

NPI
1669440707
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
March 14, 2006
Last Updated
March 25, 2021

Practice Location

  • 1336 Cedar St
  • Elmira, NY 14904-2951

Phone: (607) 734-3929

Mailing Address

  • 1 Guthrie Sq
  • Sayre, PA 18840-1625

Specialties

  • Family Medicine Physician (207Q00000X)
  • Family Medicine Physician (207Q00000X)

Endpoints

  • bingerick7450@direct-guthrie.org

    Direct Messaging Address | Direct | Elmira, NY 14904

Full Record
NPI
1669440707
Entity Type
Individual
Last Name
Ingerick
First Name
Brent
Middle Name
S.
Name Prefix
Dr.
Credential
DO
Mailing Street Address
1 Guthrie Sq
Mailing City
Sayre
Mailing State
PA
Mailing ZIP Code
18840-1625
Mailing Country
US
Mailing Phone
(570) 888-5858
Practice Street Address
1336 Cedar St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14904-2951
Practice Country
US
Practice Phone
(607) 734-3929
Practice Fax
(607) 734-0781
Enumeration Date
March 14, 2006
Last Updated
March 25, 2021
Sex
Male
Sole Proprietor
No
Certification Date
March 25, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X)
Other Identifiers
1012062540001 (PA), 02581455 (NY), GU039851 (PA, Medicare Group), P00337166 (PA, Rr Medicare Pin), CC8362 (NY, Rr Medicare Group), P00173974 (NY, Rr Medicare Pin), CC9269 (PA, Rr Medicare Group)