Provider Demographics
NPI:1770475253
Name:RINKER, BRIAN DAVID
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:DAVID
Last Name:RINKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 CROWNPOINT EXECUTIVE DR STE 800
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-6727
Mailing Address - Country:US
Mailing Address - Phone:704-488-4127
Mailing Address - Fax:
Practice Address - Street 1:2400 CROWNPOINT EXECUTIVE DR STE 800
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28227-6727
Practice Address - Country:US
Practice Address - Phone:704-488-4127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21786101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health