Basic Information
| Provider Information | |||||||||
| NPI: | 1154384543 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BRINDLEY | ||||||||
| FirstName: | GEORGE | ||||||||
| MiddleName: | W. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 5865 | ||||||||
| Address2: | |||||||||
| City: | LUBBOCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 794085865 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8067432898 | ||||||||
| FaxNumber: | 8067432787 | ||||||||
| Practice Location | |||||||||
| Address1: | 3502 9TH STREET | ||||||||
| Address2: | SUITE 450 | ||||||||
| City: | LUBBOCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 794153368 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8067434263 | ||||||||
| FaxNumber: | 8067431155 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2006 | ||||||||
| LastUpdateDate: | 11/23/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | F9239 | TX | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 200069980A | 05 | OK | MEDICAID | 8A5988 | 01 | TX | HMO BLUE | OTHER | 101070404 | 05 | TX | MEDICAID | 109167103 | 01 | TX | FIRSTCARE COMMERCIAL | OTHER | 27275086 | 05 | NM | MEDICAID | 8J8826 | 01 | TX | BC/BS | OTHER | 109167102 | 05 | TX | MEDICAID | 202001989 | 01 | NM | PRESBYTERIAN COMMERCIAL | OTHER | 101070405 | 05 | TX | MEDICAID | 202001989 | 05 | NM | MEDICAID |