DR. BRENT LEE EDGERTON DC NPI 1265426308

NPI Information

NPI: 1265426308
Provider Name: DR. BRENT LEE EDGERTON, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
7616 BROCKWAY RD
BROCKWAY, MI
ZIP 48097
Phone: (810) 387-3342
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DR. Brent Lee Edgerton, DC is a chiropractor in Brockway, MI. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Brent Lee Edgerton, DC NPI is 1265426308. 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:

7616 BROCKWAY RD
BROCKWAY, MI
ZIP 48097-408
Phone: (810) 387-3342
Fax: (810) 387-3543

The enumeration date for this NPI number is 9/6/2005 and was last updated on 6/16/2014.

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	111N00000X	Chiropractor		BE006504	MICHIGAN	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	950G411160	OTHER	MICHIGAN	BCBSMI
2	0P35900	MEDICARE UPIN	MICHIGAN

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: 5/5/2024

NPI Synchronization or Removal

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