DR. BRENTON OTEY MD - NPI 1932849601 - Student in an Organized Health Care Education/Training Program in Gainesville, GA

Q: What is Brenton Otey's NPI number?

The NPI number for Brenton Otey is 1932849601. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Q: What is Brenton Otey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Brenton Otey was last updated on March 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Brenton Otey Md NPPES

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

DR. BRENTON OTEY MD (NPI 1932849601) is an individual student in an organized health care education/training program in Gainesville, Georgia and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932849601

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. BRENTON OTEYCredential: MD

Location Address743 SPRING ST NE REAR 710Gainesville, GA 30501-3899

Mailing Address743 Spring St Ne Rear 710Gainesville, GA 30501-3899 · (770) 219-8730

Phone(770) 219-8730

Sole ProprietorNo

Enumeration DateMarch 31, 2022

NPPES CertifiedMarch 31, 2022

✔ NPI 1932849601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

743 SPRING ST NE REAR 710, Gainesville, GA 30501

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brenton Otey Md 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.