Provider Demographics
NPI:1215220991
Name:BARTA, BRENT JOSEPH (DO)
Entity Type:Individual
Prefix:
First Name:BRENT
Middle Name:JOSEPH
Last Name:BARTA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:KANSAS UNIVERSITY MEDICAL CTR
Mailing Address - Street 2:3901 RAINBOW BLVD MS 1034
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-0001
Mailing Address - Country:US
Mailing Address - Phone:913-588-3304
Mailing Address - Fax:913-588-3365
Practice Address - Street 1:2900 S 70TH ST STE 450
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-3796
Practice Address - Country:US
Practice Address - Phone:402-489-4186
Practice Address - Fax:402-489-5279
Is Sole Proprietor?:No
Enumeration Date:2011-05-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE1963207L00000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology