Brent Alexander Burket in Medford - Family Medicine
Brent Alexander Burket - NPI 1720048168
Brent Alexander Burket is a Family Medicine in Medford, Oregon. Brent Alexander Burket practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Brent Alexander Burket is 1720048168. The last update date is 2022-08-26.
Brent Alexander Burket's current location address is 555 Black Oak Dr, Medford, Oregon. You can contact this provider via phone number 5417898000 and fax number 5417898225. The mailing address for Brent Alexander Burket is 555 Black Oak Dr, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Alexander Burket |
|---|---|
| Address | 555 Black Oak Dr, Medford, Oregon |
| Phone Number | 5417898000 |
| Fax Number | 5417898225 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720048168 |
|---|---|
| Provider Enumeration Date | 2006-03-27 |
| Last Updated Date | 2022-08-26 |
Provider Mailing Address Detail
| Address | 555 Black Oak Dr |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 975048447 |
| Phone Number | 5417898000 |
| Fax Number | 5417898225 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | G84835 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1720048168 | OR | -- | |
| 22868 | OR | -- | |
| 943096772 | FEDERAL TAX ID |
Post Comment/ Review Below
What is the unique identifier code issued to Brent Alexander Burket by the Centers for Medicare & Medicaid Services (CMS)?
The Brent Alexander Burket has been assigned the NPI (National Provider Identifier) 1720048168. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Brent Alexander Burket is physically located?
The Brent Alexander Burket is physically situated at the following address: 555 Black Oak Dr, Medford, OR, 975048447.
What is Brent Alexander Burket's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brent Alexander Burket is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date was the 1720048168 assigned to Brent Alexander Burket?
The Brent Alexander Burket was issued its 1720048168 on 2006-03-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Brent Alexander Burket, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Brent Alexander Burket, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-08-26.