Brent R Driskill MD Inc

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

BRENT R DRISKILL MD INC

Practice address

4033 3Rd Ave Ste 104
San Diego, CA 92103-2136

Phone

(619) 294-2350

Fax

(619) 296-5719

NPI assigned

Jun 6, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brent R. Driskill, MD

Title

President

Phone

(619) 294-2350

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1235798919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 3RD AVE STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032136",
            "telephone_number": "619-294-2350",
            "fax_number": "619-296-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 3RD AVE STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032136",
            "telephone_number": "619-294-2350",
            "fax_number": "619-296-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT R DRISKILL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "DRISKILL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-294-2350",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Einat Brenner
• Matthew Alan Brenner
• Sara Beth Tomiko Brenner
• Susan B Brenner
• Tracy Lee Brenner, LVN
• Brent R. Livingston, M.D., Inc.
• Dana Brenzel
• Daniel Stuart Brereton, D.O.
• Kayla E Breshears
• Diane Breske, ASW

• Otolaryngology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.