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

Active since March 31, 2022PECOS Enrolled
743 SPRING ST NE REAR 710, GAINESVILLE, GA 30501(770) 219-8730 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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.

Other Providers at the Same Location NPPES 8

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

DR. RIAZ MAHMOOD DO
Internal Medicine
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730
BARATH PRASHANTH SIVASUBRAMANIAN
Internal Medicine
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730
DR. ADEYEMI OLUMAYOWA GBOGBOADE MD
Family Medicine
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730
MS. NISHI PATEL DO
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-1200
ELIZA SOOJUNG KANG
Surgery
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-9000
MOLLY MARIE MCNAMEE MD, MPH
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 284-6961
DR. MICHAEL CARL TUCKER DO
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730
NAWRAS SILIN MD
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730

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 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.

Where is Brenton Otey located?

Brenton Otey practices at 743 Spring St NE Rear 710, Gainesville, GA 30501. The listed phone number is (770) 219-8730.

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.

Is Brenton Otey enrolled in Medicare?

Yes. Brenton Otey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brenton Otey was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.