Provider Demographics
NPI:1508077199
Name:HURD, BRENT J (DO)
Entity Type:Individual
Prefix:DR
First Name:BRENT
Middle Name:J
Last Name:HURD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 10005
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35631-2005
Mailing Address - Country:US
Mailing Address - Phone:256-767-0081
Mailing Address - Fax:256-767-3077
Practice Address - Street 1:1751 VETERANS DRIVE
Practice Address - Street 2:SUITE 205
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630
Practice Address - Country:US
Practice Address - Phone:256-767-0081
Practice Address - Fax:256-767-3077
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO.1290207V00000X
OH34.009142207V00000X
PAOS014474207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology