BRENT HARRIS D.O.
NPI 1487630497
General Practice in Calabasas, CA

Q: What is Brent Harris's NPI number?

The NPI number for Brent Harris is 1487630497. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Q: What is Brent Harris's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Brent Harris was last updated on June 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 21, 2005PECOS Enrolled

23622 CALABASAS RD, STE 250, CALABASAS, CA 91302(818) 591-3435(818) 591-3440 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Brent Harris D.o. NPPES

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

BRENT HARRIS D.O. (NPI 1487630497) is an individual general practice provider in Calabasas, California, licensed in California (8377) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487630497

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameBRENT HARRISCredential: D.O.

Location Address23622 CALABASAS RD, STE 250Calabasas, CA 91302-1549

Mailing Address23622 Calabasas Rd, Ste 250Calabasas, CA 91302-1549 · (818) 591-3435 · Fax (818) 591-3440

Phone(818) 591-3435

Fax(818) 591-3440

Sole ProprietorNo

Enumeration DateDecember 21, 2005

Last NPPES UpdateJune 23, 2016

✔ NPI 1487630497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · 8377

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

23622 CALABASAS RD, Calabasas, CA 91302

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINW20A8377ACA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brent Harris D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty