Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 28077 | NE |
N | 207X00000X | Orthopaedic Surgeon | P2723 | TX |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 28077 | NE |
N | 207XS0106X | Orthopaedic Hand Surgeon | P2723 | TX |
NPI | 1083805758 |
---|---|
Provider Name | Dr. Brendan James Mackay |
First Address | North Platte, NE 69101-6054 |
Second Address | North Platte, NE 69101-6054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2007 |
Last Update Date | 07/12/2021 |