Dr. David Brent Kerns
Surgeon Vascular Surgeon
700 Olympic Plaza Cir Ste 510
Tyler
, Texas 75701-1952
Dr. David Brent Kerns
Surgeon Vascular Surgeon
700 Olympic Plaza Cir Ste 510
Tyler
, Texas 75701-1952
(903) 595-5560
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. David Brent Kerns
- 700 Olympic Plaza Cir Ste 510
- Tyler, TX
- Zip : 75701-1952
- Fax : (903) 595-5560
- Phone : (903) 595-2636
Second Address
- Dr. David Brent Kerns
- 700 Olympic Plaza Cir Ste 510
- Tyler, TX
- Zip : 75701-1952
- Fax : (903) 595-5560
- Phone : (903) 595-2636
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | K0862 | TX |
| N | 208600000X | Surgeon | K0862 | TX |
| Y | 2086S0129X | Vascular Surgeon | K0862 | TX |
National Provider Identifier
| NPI | 1073515565 |
|---|---|
| Provider Name | Dr. David Brent Kerns |
| First Address | Tyler, TX 75701-1952 |
| Second Address | Tyler, TX 75701-1952 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2005 |
| Last Update Date | 05/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 045355701 | (05) | TX |
| 3292271 | BLUELINK (01) | TX |
| 5849465 | AETNA (01) | TX |
| 770001111 | RAILROAD MEDICARE (01) | TX |
| 86Z401 | BCBS TX (01) | TX |
| E92271 | (02) | TX |
| MDK0862 | TEXAS WORKERS COMP / IHC (01) | TX |
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.