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BURT BRENT MD A MEDICAL CORPORATION
NPI 1184763476
Surgery - Plastic and Reconstructive Surgery in Woodside, CA

Active since February 05, 2007
2995 WOODSIDE ROAD, SUITE 300, WOODSIDE, CA 94062(650) 851-5300(650) 851-5302 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Burt Brent Md A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BURT BRENT MD A MEDICAL CORPORATION (NPI 1184763476), doing business as Burton D Brent Md, is a healthcare organization registered as a plastic and reconstructive surgery in Woodside, California and active in the NPI registry since February 2007. The organization lists Burton D Brent, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1184763476
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameBURT BRENT MD A MEDICAL CORPORATION
Location Address2995 WOODSIDE ROAD, SUITE 300Woodside, CA 94062-2447
Mailing Address2995 Woodside Road, Suite 300Woodside, CA 94062-2447 · (650) 851-5300 · Fax (650) 851-5302
Phone(650) 851-5300
Fax(650) 851-5302
Organization SubpartNo
Authorized OfficialBurton D BrentPhysician Owner · (650) 851-5300
Enumeration DateFebruary 5, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1184763476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in CA · G26091
Definition

A surgeon who specializes in plastic and reconstructive surgery.

2995 WOODSIDE ROAD, Woodside, CA 94062
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Other Names 1

Former Legal Business NameBurton D Brent Md

Other Identifiers 1

Medicaid00G260910CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Burt Brent MD A Medical Corporation's NPI number?

The NPI number for Burt Brent MD A Medical Corporation is 1184763476. It was assigned to this organization in the NPPES registry on February 5, 2007. The provider was formerly known as Burton D Brent MD.

Where is Burt Brent MD A Medical Corporation located?

Burt Brent MD A Medical Corporation is located at 2995 Woodside Road Suite 300, Woodside, CA 94062. The listed phone number is (650) 851-5300.

What is Burt Brent MD A Medical Corporation's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Burt Brent MD A Medical Corporation was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.