Provider Demographics
NPI:1326286170
Name:BRENT E SILVERS MD INC
Entity Type:Organization
Organization Name:BRENT E SILVERS MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:E
Authorized Official - Last Name:SILVERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-770-1122
Mailing Address - Street 1:24100 EL TORO RD
Mailing Address - Street 2:SUITE D-297
Mailing Address - City:LAGUNA WOODS
Mailing Address - State:CA
Mailing Address - Zip Code:92637-3129
Mailing Address - Country:US
Mailing Address - Phone:949-770-1122
Mailing Address - Fax:
Practice Address - Street 1:2 HUGHES
Practice Address - Street 2:SUITE 150
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2056
Practice Address - Country:US
Practice Address - Phone:949-770-1122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-02
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA49201207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty