Provider Demographics
NPI:1710995949
Name:MORGAN, BRENT C (MD)
Entity Type:Individual
Prefix:DR
First Name:BRENT
Middle Name:C
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BRENT
Other - Middle Name:C
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BRENT C MORGAN, MD
Mailing Address - Street 1:PO BOX 3649
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99220-3649
Mailing Address - Country:US
Mailing Address - Phone:509-838-2531
Mailing Address - Fax:509-755-6580
Practice Address - Street 1:4510 MEDICAL CENTER DR.
Practice Address - Street 2:SUITE 301
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-5371
Practice Address - Country:US
Practice Address - Phone:469-693-5297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2018-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7574207T00000X
WAMD60800103207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
8852J3Medicare ID - Type Unspecified
G11126Medicare UPIN