Provider Demographics
NPI:1437242518
Name:BREHM, JULI V (DO)
Entity type:Individual
Prefix:
First Name:JULI
Middle Name:V
Last Name:BREHM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JULI
Other - Middle Name:V
Other - Last Name:SCHURDELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:252 RURAL ACRES DR
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3503
Mailing Address - Country:US
Mailing Address - Phone:043-255-8555
Mailing Address - Fax:
Practice Address - Street 1:7127 HARPER ROAD
Practice Address - Street 2:
Practice Address - City:GLEN DANIEL
Practice Address - State:WV
Practice Address - Zip Code:25844
Practice Address - Country:US
Practice Address - Phone:304-255-8555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2042207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
2141891OtherUNITEDHEALTHCARE
WV59169Medicaid
WVP00389009OtherMEDICARE TRAVELERS RAILRO
001783331OtherBCBS
WV3810004183Medicaid
32881OtherCARELINK
I46343OtherHEALTH NET
WV90454Medicaid
WVBR2027152Medicare ID - Type Unspecified
I46343OtherHEALTH NET
I46343Medicare UPIN