BRENT W SPEARS MD PC NPI 1326084302

NPI Information

NPI: 1326084302
Provider Name: BRENT W SPEARS MD PC
Classification: Legal Medicine - 173000000X
Entity Type: Organization
Address: 107 BERKSHIRE DR
FARMINGVILLE, NY
ZIP 11738
Phone: (631) 834-8682

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NPI Details

BRENT W SPEARS MD PC is a legal medicine in Farmingville, NY. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. BRENT W SPEARS MD PC NPI is 1326084302. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

107 BERKSHIRE DR
FARMINGVILLE, NY
ZIP 11738-003
Phone: (631) 834-8682

The provider's authorized official is Brent W Spears .
The authorized official title is President and has the following contact phone number (631) 834-8682.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 10/14/2010.

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	173000000X	Legal Medicine			NEW YORK	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	B17509	MEDICARE UPIN	NEW YORK
2	=========	OTHER	NEW YORK	CORPORATIONS TAX ID NUMBE
3	017072	OTHER	NEW YORK	SUBMITTER ID NUMBER
4	34309	OTHER	MASSACHUSETTS	MASS MEDICAL LICENSE
5	WHA471	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	PROVIDER NUMBER
6	147779	OTHER	NEW YORK	STATE LICENSE NUMBER

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: 3/30/2025

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