BRENT J BAESE AGNP-C
NPI 1265252449
Nurse Practitioner - Primary Care in Portage, MI

Q: What is Brent Baese's NPI number?

The NPI number for Brent Baese is 1265252449. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Q: What is Brent Baese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Brent Baese was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 14, 2024

4667 FOX VALLEY DR APT 1B, PORTAGE, MI 49024(269) 251-4384 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Brent J Baese Agnp-c NPPES

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

BRENT J BAESE AGNP-C (NPI 1265252449) is an individual primary care provider in Portage, Michigan, licensed in Michigan (AG03240063) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1265252449

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameBRENT J BAESECredential: AGNP-C

Location Address4667 FOX VALLEY DR APT 1BPortage, MI 49024-8149

Mailing Address4667 Fox Valley Dr Apt 1bPortage, MI 49024-8149 · (269) 251-4384

Phone(269) 251-4384

Sole ProprietorNo

Enumeration DateOctober 14, 2024

NPPES CertifiedOctober 14, 2024

✔ NPI 1265252449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in MI · AG03240063

4667 FOX VALLEY DR APT 1B, Portage, MI 49024

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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 Brent Baese's NPI number?

The NPI number for Brent Baese is 1265252449. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Where is Brent Baese located?

Brent Baese practices at 4667 Fox Valley Dr Apt 1B, Portage, MI 49024. The listed phone number is (269) 251-4384.

What is Brent Baese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Brent Baese was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.