John R. Brent MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME92355 Issued in FL

Legal business name

JOHN R. BRENT MD PA

Practice address

1032 Mar Walt Dr
Suite 220
Fort Walton Beach, FL 32547-6661

Phone

(850) 796-3737

Fax

(850) 796-3739

NPI assigned

Oct 16, 2007

Last updated

Jan 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John R Brent, M.D., P.A.NPI 1609872688

Title

President

Phone

(850) 796-3737

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Robert Brent, M.D.

  • Surgery Physician
  • Fort Walton Beach, FL
  • NPI 1609872688
  Authorized official Same address or phone

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1679762611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 MAR WALT DR",
            "address_2": "SUITE 220",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476661",
            "telephone_number": "850-796-3737",
            "fax_number": "850-796-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 MAR WALT DR",
            "address_2": "SUITE 220",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476661",
            "telephone_number": "850-796-3737",
            "fax_number": "850-796-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. BRENT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "BRENT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-796-3737",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME92355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME92355",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Robinson Joern, PT
• John C Chaney MD FCCP PA
• John C Warburton MD PA
• John Cottam MD PA
• John D. Hutchinson Enterprises, Inc. (John D. Hutchinson, DDS)
• John S Chomer DC MD PC
• John S Kovar DC PA
• Cierra Johnson
• Elizabeth Anne Johnson
• Eva Johnson

• Specialist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.