Brent Mair, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

28145659A Issued in IN

Practice address

550 Pope Ave
Munson Army Health Center (Attn: Crentials)
Fort Leavenworth, KS 66027-2332

Phone

(903) 684-6562

NPI assigned

Aug 21, 2009

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": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1851523096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 POPE AVE",
            "address_2": "MUNSON ARMY HEALTH CENTER (ATTN: CRENTIALS)",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POPE AVE",
            "address_2": "MUNSON ARMY HEALTH CENTER (ATTN: CRENTIALS)",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272332",
            "telephone_number": "903-684-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIR",
        "first_name": "BRENT",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28145659A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Lot, MD
• John Ryan Lysinger
• Rocky Gene Macy, MSW, LCSW
• Kevin Michael Madjarac, DDS
• Mahc
• Joshua Adam Mandeville, D.O.
• Joseph Frank Maranto, O.D.
• David Dale Marn, D.C.
• Patricia Lee Mashburn, LCSW, BCD
• Lisa Heatly Masterson, MD

• Registered Nurse in Fort Leavenworth, KS
• Providers in Fort Leavenworth, KS by specialty
• Registered Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.