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Jacob Allaire Brems, MD
Urology Physician in Leesburg, Virginia
NPI 1215381462

Jacob Allaire Brems is a Urology Physician based in Leesburg, VA. Jacob Allaire Brems practices in Leesburg, VA and has the professional credentials of MD. The NPI Number for Jacob Allaire Brems is 1215381462 and holds a License No. 2021-01541 (Virginia).

The current practice location address for Jacob Allaire Brems is 19415 Deerfield Avenue, Suite 112, Leesburg, VA and can be reached out via phone at 703-724-1195 and via fax at 703-724-4495. You can also correspond with Jacob Allaire Brems through the mailing address at 224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA - 20176-2704 (mailing address contact number: 703-737-6010).

Location: 19415 Deerfield Avenue, Suite 112, Leesburg, VA, 20176-2704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215381462
Provider Name
Jacob Allaire Brems
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
19415 Deerfield Avenue, Suite 112, Leesburg, VA, 20176-2704
Phone Number
703-724-1195
Fax Number
703-724-4495
Provider Enumeration Date
04/13/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1215381462 05 VA
institution
Provider Business Practice Location Address Details
Address
19415 Deerfield Avenue, Suite 112
City
Leesburg
State
Virginia
Zip
20176-8470
Phone Number
703-724-1195
Fax Number
703-724-4495
person
Provider Business Mailing Address Details
Address
19415 Deerfield Avenue, Suite 112
City
Leesburg
State
Virginia
Zip
20176-8470
Phone Number
703-724-1195
Fax Number
703-724-4495
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
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Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2021-01541 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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