Brett Binet Hart
Individual provider Active NPI Anesthesiology Physician · Kings Bay, GA
NPI 1962470419 · NPPES record last updated Mar 29, 2012
Key facts
- NPI
- 1962470419
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 0101044999 (VA)
- Practice address
- 1050 Uss Georgia Ave
Kings Bay, GA 31547-2607 - Phone
- (912) 573-2990
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101044999 | VA | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0101044999 | VA | Yes |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 0101044999 | VA |
Addresses
Primary practice location
1050 Uss Georgia Ave
Kings Bay, GA 31547-2607
Mailing address
161 Laurel Marsh Way
Kingsland, GA 31548-6192
Phone (912) 673-8808
Other providers in Kings Bay, GA
- Cary Grinold
- Bhupendra Kumar Gupta
- Matthew Hall
- Lily Swift Hallgring
- Heather Ann Harrison
- Kevin Seung Heo
- Jamie Lynn Hughes
- Keisha Perry Jackson
- Melissa Johnson
- Edward Vincent Kay
All providers in Kings Bay, GA · Anesthesiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.