Brent E. Mcentire
Internist Pediatrician
4420 Dixie Hwy Ste. 114
Louisville
, Kentucky 40216-2988
Brent E. Mcentire
Internist Pediatrician
4420 Dixie Hwy Ste. 114
Louisville
, Kentucky 40216-2988
(502) 272-5116
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About
Features
Specialties
- Internist
- Pediatrician
Languages spoken
- English
Location
First Address
- Brent E. Mcentire
- Po Box 950202
- Louisville, KY
- Zip : 40295-0202
- Fax : (502) 272-5116
- Phone : (502) 588-9490
Second Address
- Brent E. Mcentire
- 4420 Dixie Hwy Ste. 114
- Louisville, KY
- Zip : 40216-2988
- Fax : (502) 449-6465
- Phone : (502) 449-6464
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 35588 | KY |
| Y | 111NI0900X | Internist | 35588 | KY |
| N | 208000000X | Pediatrician | 35588 | KY |
National Provider Identifier
| NPI | 1013013028 |
|---|---|
| Provider Name | Brent E. Mcentire |
| First Address | Louisville, KY 40295-0202 |
| Second Address | Louisville, KY 40216-2988 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/09/2006 |
| Last Update Date | 12/11/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000194158 | BCBS PROVIDER NUMBER (01) | |
| 35588 | LICENSE (01) | KY |
| 64018401 | (05) | KY |
| H28751 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.