Basic Information
Provider Information
NPI: 1629791173
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BRINNING
FirstName: CULLIN
MiddleName: JAMES
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7765 WOODLANDS TRL
Address2:  
City: CHESTERLAND
State: OH
PostalCode: 440263000
CountryCode: US
TelephoneNumber: 4408566707
FaxNumber:  
Practice Location
Address1: 1 AKRON GENERAL AVE
Address2:  
City: AKRON
State: OH
PostalCode: 443072432
CountryCode: US
TelephoneNumber: 3303446000
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/20/2022
LastUpdateDate: 09/20/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/20/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000XAPRN.CRNA.0020625OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


Home