Provider Demographics
NPI:1912949991
Name:BRINKMAN, ANNE MARIE (MD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:BRINKMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 GRAPHICS WAY
Mailing Address - Street 2:MOUNT CARMEL MEDICAL GROUP SUITE 2400
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035
Mailing Address - Country:US
Mailing Address - Phone:740-953-4100
Mailing Address - Fax:740-953-4171
Practice Address - Street 1:7100 GRAPHICS WAY
Practice Address - Street 2:MOUNT CARMEL MEDICAL GROUP SUITE 2400
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035
Practice Address - Country:US
Practice Address - Phone:740-953-4100
Practice Address - Fax:740-953-4171
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.071581207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2071770Medicaid
OH2071770Medicaid
OHBR0866553Medicare PIN
OHBR0866553Medicare PIN
G88545Medicare UPIN