Brent McDonald, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

327853-3102 Issued in UT

Practice address

6822 E 1000 S
Ft Duchesne, UT 84026

Phone

(435) 725-6841

NPI assigned

Nov 4, 2016

Last updated

Nov 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1831641042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 S 500 E",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840784406",
            "telephone_number": "435-828-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6822 E 1000 S",
            "city": "FT DUCHESNE",
            "state": "UT",
            "postal_code": "84026",
            "telephone_number": "435-725-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "BRENT",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "UT",
            "license": "327853-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Jones, LPN
• Greg J Mahrt, MS, RD
• Delbert Gary Martin, RPH
• Frank Britton Martin, RPH., PHARMD.
• Timothy A McCreary, P.A.
• Stephen J. Meier, MD
• Joseph William Myers, DMD
• Lloyd Issac Neilsen, RN, BSN
• Eve O'Pray-Nichols, RN, BSN, CDCES
• Steve Edwin Pehrson, M.D.

• Ambulatory Care Registered Nurse in Fort Duchesne, UT
• Providers in Fort Duchesne, UT by specialty
• Ambulatory Care Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.