Burton Brent, is a
Plastic Surgery physician based in Portola Valley, California. Burton Brent is licensed to practice in California (license number G26091) and his current practice location is 341 Grove Dr, Portola Valley, California. He can be reached at his office (for appointments etc.) via phone at
(650) 851-5300.
NPI number for Burton Brent is 1073915039 and his current mailing address is 2995 Woodside Rd Ste 400, Woodside, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073915039.
Physician's Profile
| Full Name | Burton Brent |
|---|
| Gender | Male |
|---|
| Speciality | Plastic Surgery |
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| Location | 341 Grove Dr, Portola Valley, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073915039
- Provider Enumeration Date: 09/22/2014
- Last Update Date: 09/22/2014
Medical Identifiers
Medical identifiers for Burton Brent such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073915039 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | G26091 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Burton Brent is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Burton Brent,
2995 Woodside Rd Ste 400,
Woodside, CA 94062-2448
Ph: (650) 851-5300 | Burton Brent,
341 Grove Dr,
Portola Valley, CA 94028-7642
Ph: (650) 851-5300 |
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