JOHN R. BRENT MD PA
NPI 1679762611
Specialist in Fort Walton Beach, FL

Q: What is John R. Brent MD PA's NPI number?

The NPI number for John R. Brent MD PA is 1679762611. It was assigned to this organization in the NPPES registry on October 16, 2007.

Q: What is John R. Brent MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 16, 2007

1032 MAR WALT DR, SUITE 220, FORT WALTON BEACH, FL 32547(850) 796-3737(850) 796-3739 Get Directions Write a Review

NPPES record last updated: January 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John R. Brent Md Pa NPPES

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

JOHN R. BRENT MD PA (NPI 1679762611) is a healthcare organization registered as a specialist in Fort Walton Beach, Florida and active in the NPI registry since October 2007. The organization lists John R Brent, President, as its authorized official.

NPPES Registry Identity

NPI1679762611

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameJOHN R. BRENT MD PA

Location Address1032 MAR WALT DR, SUITE 220Fort Walton Beach, FL 32547-6661

Mailing Address1032 Mar Walt Dr, Suite 220Fort Walton Beach, FL 32547-6661 · (850) 796-3737 · Fax (850) 796-3739

Phone(850) 796-3737

Fax(850) 796-3739

Organization SubpartNo

Authorized OfficialJohn R BrentPresident · (850) 796-3737

Enumeration DateOctober 16, 2007

Last NPPES UpdateJanuary 15, 2013

✔ NPI 1679762611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME92355

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1032 MAR WALT DR, Fort Walton Beach, FL 32547

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Other Identifiers 1

OtherME92355Medical License

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

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIKKOLE NUNEZ TOWN

Nurse Practitioner (Family)

1032 MAR WALT DR
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 863-8260

ERIC L SANDWITH MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1032 MAR WALT DR, SUITE 230
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 862-3194

BARNETT FACIAL PLASTIC & RECONSTRUCTIVE SURGERY, PA.

Otolaryngology (Plastic Surgery within the Head & Neck)

1032 MAR WALT DR, SUITE 100
FORT WALTON BEACH, FL 32547

Okaloosa County (504) 914-7696

WHITE SANDS PODIATRY LLC

Podiatrist (Foot & Ankle Surgery)

1032 MAR WALT DR, STE 100
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 622-1607

EMERALD COAST EAR, NOSE, THROAT & ALLERGIES, P.A.

Health Maintenance Organization

1032 MAR WALT DR, SUITE 100
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 796-1368

TIMOTHY M BRADLEY,MD SC

Plastic Surgery

1032 MAR WALT DR, SUITE 240
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 533-0865

BEACH ORTHOPAEDIC & SPORTS MEDICINE CLINIC, PA

Orthopaedic Surgery

1032 MAR WALT DR, SUITE 210
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 664-5633

JOSEPH DANIEL SIEFKER M.D.

Otolaryngology (Otolaryngic Allergy)

1032 MAR WALT DR, SUITE 100
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 796-1368

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 John R. Brent MD PA's NPI number?

The NPI number for John R. Brent MD PA is 1679762611. It was assigned to this organization in the NPPES registry on October 16, 2007.

Where is John R. Brent MD PA located?

John R. Brent MD PA is located at 1032 Mar Walt Dr Suite 220, Fort Walton Beach, FL 32547. The listed phone number is (850) 796-3737.

What is John R. Brent MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for John R. Brent MD PA was last updated on January 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.