Burt Brent Md A Medical Corporation in Woodside - Plastic And Reconstructive Surgery
Burt Brent Md A Medical Corporation - NPI 1184763476
Burt Brent Md A Medical Corporation is a Plastic And Reconstructive Surgery in Woodside, California. Burt Brent Md A Medical Corporation practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Burt Brent Md A Medical Corporation is 1184763476. The last update date is 2020-08-22.
Burt Brent Md A Medical Corporation's current location address is 2995 Woodside Road, Woodside, California. You can contact this provider via phone number 6508515300 and fax number 6508515302. The mailing address for Burt Brent Md A Medical Corporation is 2995 Woodside Road, Woodside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Burt Brent Md A Medical Corporation |
|---|---|
| Address | 2995 Woodside Road, Woodside, California |
| Phone Number | 6508515300 |
| Fax Number | 6508515302 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Brent D Burton |
| Credentials | MD |
| Telephone Number | 6508515300 |
NPI Number Detail
| NPI Number | 1184763476 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2995 Woodside Road |
|---|---|
| City | Woodside |
| State | California (CA) |
| Post Code | 940622447 |
| Phone Number | 6508515300 |
| Fax Number | 6508515302 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | G26091 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G260910 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Burt Brent Md A Medical Corporation by the Centers for Medicare & Medicaid Services?
The Burt Brent Md A Medical Corporation has been assigned the NPI (National Provider Identifier) 1184763476 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 Burt Brent Md A Medical Corporation is geographically located?
The Burt Brent Md A Medical Corporation is physically situated at the following location: 2995 Woodside Road, Woodside, CA, 940622447.
What is Burt Brent Md A Medical Corporation's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Burt Brent Md A Medical Corporation is Plastic And Reconstructive Surgery, and the taxonomy code that classifies this field of practice is 2086S0122X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184763476 to Burt Brent Md A Medical Corporation?
The Centers for Medicare & Medicaid Services originally issued the 1184763476 to Burt Brent Md A Medical Corporation on 2007-02-05.
When was the information regarding Burt Brent Md A Medical Corporation, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Burt Brent Md A Medical Corporation, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.