Basic Information
| Provider Information | |||||||||
| NPI: | 1437129152 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DRENNING | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | HUMPHREY | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 930 FRANKLIN ST SE | ||||||||
| Address2: | |||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358014312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2565394080 | ||||||||
| FaxNumber: | 2565394099 | ||||||||
| Practice Location | |||||||||
| Address1: | 930 FRANKLIN ST SE | ||||||||
| Address2: | |||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358014312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2565394080 | ||||||||
| FaxNumber: | 2565394099 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/25/2006 | ||||||||
| LastUpdateDate: | 05/08/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0011X | 18148 | AL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology |
ID Information
| ID | Type | State | Issuer | Description | 25-10185 | 01 | UNITED HEALTHCARE | OTHER | 510-49210 | 01 | AL | BCBS | OTHER | 510-49211 | 01 | AL | BCBS | OTHER | 510-49212 | 01 | AL | BCBS | OTHER | 060037262 | 01 | RAILROAD MEDICARE | OTHER | 112052 | 05 | AL | MEDICAID | 112063 | 05 | AL | MEDICAID | 515-99694 | 01 | AL | BCBS | OTHER | 0196865 | 01 | TN | BCBS | OTHER | 515-99693 | 01 | AL | BCBS | OTHER | 000031079 | 05 | AL | MEDICAID | 112065 | 05 | AL | MEDICAID | 4484161 | 01 | AETNA | OTHER | 112045 | 05 | AL | MEDICAID | P00772001 | 01 | AL | RAILROAD MEDICARE | OTHER | 515-98515 | 01 | AL | BCBS | OTHER | 112059 | 05 | AL | MEDICAID | 112061 | 05 | AL | MEDICAID | 51031079 | 01 | AL | BCBS | OTHER |