Individual provider · NPI-1
Robert Greville Brummett, MD
Hospitalist · Lebanon, PA
NPI number1073544946
StatusActive
Last updated in NPPESSep 12, 2024
Details
- NPI
- 1073544946
- Entity type
- Individual (NPI-1)
- Name
- Robert Greville Brummett
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2006
- Certification date
- Sep 12, 2024
- Last updated
- Sep 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | MD422572 | PA | Yes |
| 207Q00000X | Family Medicine | MD422572 | PA |
Practice location
855 Tuck StSuite 1
Lebanon, PA 17042-7478
Phone 717-273-5395
Mailing address
855 Tuck St Ste 1Lebanon, PA 17042-7214
Phone 717-273-5395
Other practice locations
283 S Butler Rd
Lebanon, PA 17042-8939
Lebanon, PA 17042-8939
Phone 717-273-8871
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