Provider Demographics
NPI:1720127467
Name:MYERS, BRENT ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:BRENT
Middle Name:ROBERT
Last Name:MYERS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3106 SWEETEN CREEK RD
Mailing Address - Street 2:STE E
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-8106
Mailing Address - Country:US
Mailing Address - Phone:828-676-0963
Mailing Address - Fax:828-676-0962
Practice Address - Street 1:3106 SWEETEN CREEK RD
Practice Address - Street 2:STE E
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-8106
Practice Address - Country:US
Practice Address - Phone:828-676-0963
Practice Address - Fax:828-676-0962
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3692111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5905981Medicaid
NC2459150Medicare PIN