BRENT HAYDEN M.D.P.A. NPI 1326373606

NPI Information

NPI: 1326373606
Provider Name: BRENT HAYDEN, M.D.,P.A.
Classification: General Practice - 208D00000X
Entity Type: Organization
CLIA Number: 10D0266982
Address: 733 SW STATE ROAD 47
LAKE CITY, FL
ZIP 32025
Phone: (386) 755-0645

Map and Directions

Get Directions

NPI Details

BRENT HAYDEN, M.D.,P.A. is a general practice in Lake City, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BRENT HAYDEN, M.D.,P.A. NPI is 1326373606. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

733 SW STATE ROAD 47
LAKE CITY, FL
ZIP 32025-453
Phone: (386) 755-0645
Fax: (386) 961-9541

The provider's authorized official is Donald Brent Hayden .
The authorized official title is President and has the following contact phone number (386) 755-0645.

The CLIA number assigned to this NPI record is 10D0266982 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2009 and was last updated on 12/18/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				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	E34632	MEDICARE UPIN	FLORIDA
2	041891900	MEDICAID	FLORIDA
3	12066	OTHER	FLORIDA	MEDICARE ID-TYPE UNSPECIFIED
4	ME0043394	OTHER	FLORIDA	STATE LICENCE 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: 11/21/2025

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.

Previous NPI

Next NPI