Dr Brent Ray Burdett, MD is a
Allergy & Immunology physician based in South Ogden, Utah. Dr Brent Ray Burdett is licensed to practice in Utah (license number 75-158533-1205) and his current practice location is 5929 Fashion Point Dr, Ste 101, South Ogden, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 476-0052.
NPI number for Dr Brent Ray Burdett is 1750383097 and his current mailing address is 5929 Fashion Point Dr, Ste 101, South Ogden, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750383097.
Physician's Profile
| Full Name | Dr Brent Ray Burdett |
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| Gender | Male |
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| Speciality | Allergy & Immunology |
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| Location | 5929 Fashion Point Dr, South Ogden, Utah |
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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: 1750383097
- Provider Enumeration Date: 06/01/2005
- Last Update Date: 06/23/2010
Medical Identifiers
Medical identifiers for Dr Brent Ray Burdett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750383097 | NPI | - | NPPES |
| 030001482 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | 75-158533-1205 (Utah) | 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. Dr Brent Ray Burdett 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 |
|---|
Dr Brent Ray Burdett, MD
5929 Fashion Point Dr, Ste 101,
South Ogden, UT 84403-4672
Ph: (801) 476-0052 | Dr Brent Ray Burdett, MD
5929 Fashion Point Dr, Ste 101,
South Ogden, UT 84403-4672
Ph: (801) 476-0052 |
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