BRENT R. KING M.D. NPI 1063455483

NPI Information

NPI: 1063455483
Provider Name: BRENT R. KING, M.D.
Classification: Emergency Medicine - 207PP0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
1600 ROCKLAND RD
WILMINGTON, DE
ZIP 19803
Phone: (302) 651-5860
Get Directions

Brent R. King, M.D. is a pediatric emergency medicine emergency medicine in Wilmington, DE. The provider is pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. Brent R. King, M.D. NPI is 1063455483. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1600 ROCKLAND RD
WILMINGTON, DE
ZIP 19803-607
Phone: (302) 651-5860
Fax: (302) 651-4227

The NPI 1063455483 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 7/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		G5250	TEXAS	No
2	207PP0204X	Emergency Medicine	Pediatric Emergency Medicine	G5250	TEXAS	No
3	2080P0204X	Pediatrics	Pediatric Emergency Medicine	G5250	TEXAS	No
4	207PP0204X	Emergency Medicine	Pediatric Emergency Medicine	C10010378	DELAWARE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	137016510	OTHER	TEXAS	CSHCN
2	C17888	MEDICARE UPIN	TEXAS
3	137016503	MEDICAID	TEXAS
4	82988K	OTHER	TEXAS	BCBS
5	82988K	MEDICARE PIN	TEXAS
6	930076027	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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