Burt Brent MD a Medical Corporation
Organization Active NPI Plastic and Reconstructive Surgery Physician · Woodside, CA
NPI 1184763476 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1184763476
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Plastic and Reconstructive Surgery Physician 2086S0122X
- License
- G26091 (CA)
- Legal business name
- BURT BRENT MD A MEDICAL CORPORATION
- Practice address
- 2995 Woodside Road
Suite 300
Woodside, CA 94062-2447 - Phone
- (650) 851-5300
- Fax
- (650) 851-5302
- NPI assigned
- Feb 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Burton D Brent, MD
- Title
- Physician Owner
- Phone
- (650) 851-5300
National Provider Directory
Locations
2995 Woodside Rd
Ste 300
Woodside, CA 94062
Phone (650) 275-2326
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician |
2086S0122X | G26091 | CA | Yes |
Addresses
Primary practice location
2995 Woodside Road
Suite 300
Woodside, CA 94062-2447
Mailing address
2995 Woodside Road
Suite 300
Woodside, CA 94062-2447
Phone (650) 851-5300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G260910 | Medicaid | CA |
Other names
- Burton D Brent MD
Other providers in Woodside, CA
- Megan Elizabeth Atashroo
- Adam Mark Berns
- Kelly Branson
- Gail L Brown
- Teresa June Buchanan
- Angela Nava Bye
- Sheree Campbell
- Siqi Chen
- David Cho
- Lindsey Chuang
All providers in Woodside, CA · Plastic and Reconstructive Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.