Provider Demographics
NPI:1639162340
Name:AKERS, BRETT DARRELL (DO)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:DARRELL
Last Name:AKERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40743-0936
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:315 WHISPERING BROOK DR
Practice Address - Street 2:
Practice Address - City:NICHOLASVILLE
Practice Address - State:KY
Practice Address - Zip Code:40356-8893
Practice Address - Country:US
Practice Address - Phone:859-881-0742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-27
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200802054208800000X
VA0102201274208800000X
KY02686208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2827719OtherCIGNA
NC5910162Medicaid
VA1639162340Medicaid
VA346068OtherANTHEM
KY64033061Medicaid
VAMC10103Medicare PIN
KY6803Medicare ID - Type Unspecified
VA346068OtherANTHEM
VA1639162340Medicaid
VAP00626736Medicare PIN