Brent M George is a Sports in Mercer Island, Washington. Brent M George practices all healthcare services and medical treatments related to Sports. The NPI Number for Brent M George is 1649252164. The last update date is 2020-09-01.
Brent M George's current location address is 2737 77th Ave Se, Mercer Island, Washington. You can contact this provider via phone number 2065189405 and fax number 8884467044. The mailing address for Brent M George is 2737 77th Ave Se, Mercer Island, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brent M George |
---|---|
Address | 2737 77th Ave Se, Mercer Island, Washington |
Phone Number | 2065189405 |
Fax Number | 8884467044 |
Sole Proprietor | X |
Credentials | MPT |
NPI Number Detail
NPI Number | 1649252164 |
---|---|
Provider Enumeration Date | 2005-11-18 |
Last Updated Date | 2020-09-01 |
Provider Mailing Address Detail
Address | 2737 77th Ave Se |
---|---|
City | Mercer Island |
State | Washington (WA) |
Post Code | 980402832 |
Phone Number | 2065189405 |
Fax Number | 8884467044 |
Provider's Primary Taxonomy Detail
Speciality | Sports |
---|---|
Taxonomy | 2251S0007X |
Licence No | PT00005681 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
71593 | WA | LABOR AND INDUSTRIES | |
GE0814 | WA | REGENCE BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Brent M George by the Centers for Medicare & Medicaid Services?
The Brent M George has been assigned the NPI (National Provider Identifier) 1649252164 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Brent M George's facilities are situated?
The facilities of Brent M George are physically located at the following address: 2737 77Th Ave Se, Mercer Island, WA, 980402832.
What is Brent M George's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brent M George is Sports, and the corresponding taxonomy classification code for this specialized field is 2251S0007X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649252164 to Brent M George?
The Centers for Medicare & Medicaid Services originally issued the 1649252164 to Brent M George on 2005-11-18.
As of what date was the information regarding Brent M George, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brent M George, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-09-01.