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DR. BRENT PACKER M.D.
NPI 1902959018
General Practice in Lacey, WA

Active since January 19, 2007
4220 INGLESIDE DR SE, LACEY, WA 98503(360) 456-3429 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brent Packer M.d. NPPES

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

DR. BRENT PACKER M.D. (NPI 1902959018) is an individual general practice provider in Lacey, Washington, licensed in Washington (MD00033748) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1902959018
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. BRENT PACKERCredential: M.D.
Location Address4220 INGLESIDE DR SELacey, WA 98503-2108
Mailing Address4220 Ingleside Dr SeLacey, WA 98503-2108 · (360) 456-3429
Phone(360) 456-3429
Sole ProprietorYes
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902959018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WA · MD00033748
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
4220 INGLESIDE DR SE, Lacey, WA 98503
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Other Providers at the Same Location NPPES

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

DR. MYRNA PALASI MD
Family Medicine
4220 INGLESIDE DR SE
LACEY, WA 98503
Thurston County (360) 456-3429

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 Packer's NPI number?

The NPI number for Brent Packer is 1902959018. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Brent Packer located?

Brent Packer practices at 4220 Ingleside Dr SE, Lacey, WA 98503. The listed phone number is (360) 456-3429.

What is Brent Packer's specialty?

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

When was this NPI record last updated?

The NPPES record for Brent Packer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.