Provider Demographics
NPI:1437129152
Name:DRENNING, DAVID HUMPHREY (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HUMPHREY
Last Name:DRENNING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 FRANKLIN ST SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4312
Mailing Address - Country:US
Mailing Address - Phone:256-539-4080
Mailing Address - Fax:256-539-4099
Practice Address - Street 1:930 FRANKLIN ST SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4312
Practice Address - Country:US
Practice Address - Phone:256-539-4080
Practice Address - Fax:256-539-4099
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL18148207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
25-10185OtherUNITED HEALTHCARE
AL510-49210OtherBCBS
AL510-49211OtherBCBS
AL510-49212OtherBCBS
060037262OtherRAILROAD MEDICARE
AL112052Medicaid
AL112063Medicaid
AL515-99694OtherBCBS
TN0196865OtherBCBS
AL515-99693OtherBCBS
AL000031079Medicaid
AL112065Medicaid
4484161OtherAETNA
AL112045Medicaid
ALP00772001OtherRAILROAD MEDICARE
AL515-98515OtherBCBS
AL112059Medicaid
AL112061Medicaid
AL51031079OtherBCBS
AL51031079OtherBCBS
4484161OtherAETNA
AL112061Medicaid