Brent P Hansen DO PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4183 Issued in AZ

Legal business name

BRENT P HANSEN DO PC

Practice address

4344 W Bell Rd
Suite 102
Glendale, AZ 85308-3589

Phone

(602) 588-4040

Fax

(602) 588-4034

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Brent Paul Hansen, D.O.

Title

Owner/President

Phone

(602) 588-4040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1326237405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 W BELL RD",
            "address_2": "SUITE 102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083589",
            "telephone_number": "602-588-4040",
            "fax_number": "602-588-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 W BELL RD",
            "address_2": "SUITE 102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083589",
            "telephone_number": "602-588-4040",
            "fax_number": "602-588-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT P HANSEN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "602-588-4040",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "4183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Breitmeyer, PSY.D.
• Jan H Brekke, MD
• Abigail Breland
• Kylee Juleene Brennan, PA-C
• Selena Maree Brennan, ATC
• Clara Brewer
• Lena M Brewer, MS, OTR/L
• Brian a Tolman DMD PLLC
• Brian J. Wilson DDS, PC
• Brian S Page DO LLC

• Orthopaedic Surgery Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.