Brent Blue is a Emergency Medicine in Jackson, . Brent Blue practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Brent Blue is 1063467538. The last update date is 2021-01-23.
Brent Blue's current location address is Po Box 428, Jackson, . You can contact this provider via phone number 3077338002 and fax number 3077330032. The mailing address for Brent Blue is Po Box 428, Jackson, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Blue |
|---|---|
| Address | Po Box 428, Jackson, |
| Phone Number | 3077338002 |
| Fax Number | 3077330032 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063467538 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2021-01-23 |
Provider Mailing Address Detail
| Address | Po Box 428 |
|---|---|
| City | Jackson |
| State | (WY) |
| Post Code | 830010428 |
| Phone Number | 3077338002 |
| Fax Number | 3077330032 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | A31472 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 102017000 | WY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Brent Blue by the Centers for Medicare & Medicaid Services?
The Brent Blue has been assigned the NPI (National Provider Identifier) 1063467538 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Brent Blue is geographically located?
The Brent Blue is physically situated at the following location: Po Box 428, Jackson, WY, 830010428.
What is Brent Blue's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brent Blue is Emergency Medicine, and the taxonomy code that classifies this field of practice is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063467538 to Brent Blue?
The Brent Blue received its 1063467538 assignment from the Centers for Medicare & Medicaid Services on 2006-05-23.
When was the information regarding Brent Blue, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Brent Blue, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-01-23.