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BRENT EBERHARD MD NPI 1679559629


NPI Information

NPI: 1679559629
Provider Name: BRENT EBERHARD, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
2121 N 1700 W
LAYTON, UT
ZIP 84041
Phone: (801) 773-4840
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Brent Eberhard, MD is a pediatrics in Layton, UT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Brent Eberhard, MD NPI is 1679559629. 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:

2121 N 1700 W
LAYTON, UT
ZIP 84041-803
Phone: (801) 773-4840
Fax: (801) 525-8195

The enumeration date for this NPI number is 12/21/2005 and was last updated on 8/2/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics53778941205UTAHYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H98778MEDICARE UPIN
2D5348MEDICAIDUTAH
3005536861MEDICARE ID-TYPE UNSPECIFIEDUTAH
4005701360MEDICARE ID-TYPE UNSPECIFIEDUTAH
5002241039MEDICARE ID-TYPE UNSPECIFIEDUTAH

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

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