BRENT WILKINS PA-C NPI 1003449117

Physician Assistant in Deland, FL

Individual Male Physician Assistant PECOS Enrolled

About BRENT WILKINS

Brent Wilkins is a provider established in Deland, Florida and his medical specialization is physician assistant. The NPI number of Brent Wilkins is 1003449117 and was assigned on February 2020. The practitioner's primary taxonomy code is 363A00000X with license number PA9112968 (FL). The provider is registered as an individual and his NPI record was last updated February 2020. Brent Wilkins is enrolled in PECOS.

NPI

1003449117

Provider Name BRENT WILKINS PA-C
Provider Location Address701 W PLYMOUTH AVE DELAND, FL 32720
Provider Mailing Address1516 MONROE DR EDGEWATER, FL 32132
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date02-17-2020
Last Update Date02-20-2020

Primary Taxonomy

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.PA9112968
License StateFL
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Business Address

BRENT WILKINS PA-C
701 W PLYMOUTH AVE
DELAND, FL
ZIP 32720
Phone: (407) 538-7193

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Mailing Address

BRENT WILKINS PA-C
1516 MONROE DR
EDGEWATER, FL
ZIP 32132
Phone: (407) 538-7193

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205880853EMERGENCY MEDICINE PROFESSIONALS PA
Organization
Emergency Medicine701 W PLYMOUTH AVE
DELAND, FL 32720
(386) 734-3220
1205899507 JACKIE ROBINSON MILLER DO
Individual
Family Medicine701 W PLYMOUTH AVE
DELAND, FL 32720
(386) 943-4522
1316198864 LEIGHANN C WILLIAMS MD
Individual
Emergency Medicine701 W PLYMOUTH AVE
DELAND, FL 32720
(386) 943-4522
1346310422 HUGH LATIMER JONES MD
Individual
Emergency Medicine701 W PLYMOUTH AVE
DELAND, FL 32720
(386) 943-4522
1346340437 TERESA A BERRIDGE MD
Individual
Emergency Medicine701 W PLYMOUTH AVE
DELAND, FL 32720
(386) 943-4522
1427125012FLORIDA RADIOLOGY MANAGEMENT LLC
Organization
Radiology (Diagnostic Radiology)701 W PLYMOUTH AVE
DELAND, FL 32720
(368) 943-4522
1427161009 MARK F MARINO DO
Individual
Anesthesiology701 W PLYMOUTH AVE
DELAND, FL 32720
(407) 667-0444
1457397564 EVAN BLOOM DO
Individual
Anesthesiology701 W PLYMOUTH AVE
DELAND, FL 32720
(407) 667-0444
1598091035 THERESA ANN O'CONNER
Individual
Dietitian, Registered701 W PLYMOUTH AVE
DELAND, FL 32720
(386) 943-4727
1730125840 PHUONG-TRUC LE DO
Individual
Anesthesiology701 W PLYMOUTH AVE
DELAND, FL 32720
(407) 667-0444
1760460372DR. EDMUNDO D DELGADO DO
Individual
Anesthesiology701 W PLYMOUTH AVE
DELAND, FL 32720
(407) 667-0444
1770604811MRS. TINA M READE MSPT
Individual
Physical Therapist701 W PLYMOUTH AVE
DELAND, FL 32720
(386) 943-4690
1790764744DR. KENNETH C GERSTEN M.D.
Individual
Radiology (Diagnostic Radiology)701 W PLYMOUTH AVE
DELAND, FL 32720
(386) 943-4616
1841273836 IVAN MENEZES MD
Individual
Emergency Medicine (Emergency Medical Services)701 W PLYMOUTH AVE
DELAND, FL 32720
(386) 943-4522
1871519652 ROBERT FECHTENBURG CRNA
Individual
Nurse Anesthetist, Certified Registered701 W PLYMOUTH AVE
DELAND, FL 32720
(407) 667-0444
1902822885 MARY LANE HOOD CRNA
Individual
Nurse Anesthetist, Certified Registered701 W PLYMOUTH AVE
DELAND, FL 32720
(407) 667-0444
1912191958DR. STEPHEN PLUNKETT COLTHARP IV MD
Individual
Emergency Medicine701 W PLYMOUTH AVE
DELAND, FL 32720
(386) 943-4522
1952552556DR. CLAIRE H SIMPSON MD
Individual
Emergency Medicine701 W PLYMOUTH AVE
DELAND, FL 32720
(386) 943-4522
1972719292 JOSE LUIS ROSADO II MD
Individual
Family Medicine701 W PLYMOUTH AVE
DELAND, FL 32720
(386) 943-4522
1992828461DR. WILLIAM FRANCIS GEERS JR. M.D.
Individual
Family Medicine701 W PLYMOUTH AVE
DELAND, FL 32720
(386) 274-7824

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
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?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.