Brent Blue is a Family Medicine in Jackson, . Brent Blue practices all healthcare services and medical treatments related to Family 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 |
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Address | Po Box 428, Jackson, |
Phone Number | 3077338002 |
Fax Number | 3077330032 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1063467538 |
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Provider Enumeration Date | 2006-05-23 |
Last Updated Date | 2021-01-23 |
Provider Mailing Address Detail
Address | Po Box 428 |
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City | Jackson |
State | (WY) |
Post Code | 830010428 |
Phone Number | 3077338002 |
Fax Number | 3077330032 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 3416A |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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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 Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
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.