Basic Information
| Provider Information | |||||||||
| NPI: | 1306881065 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BRITTEN | ||||||||
| FirstName: | JEREMY | ||||||||
| MiddleName: | BLAINE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1633 COTTONWOOD ST | ||||||||
| Address2: | |||||||||
| City: | ABILENE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 796013033 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3256724372 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1633 COTTONWOOD ST | ||||||||
| Address2: | |||||||||
| City: | ABILENE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 796013033 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3256724372 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2006 | ||||||||
| LastUpdateDate: | 11/17/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/17/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | L8627 | TX | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.