Egeland, Brent Michael
Egeland, Brent Michael is an individual health care provider with primary practice located at 1400 N Ih 35 Ste 320 , Austin TX 78701-1926. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Egeland, Brent Michael can be contacted via phone (512) 324-8320.Contact Information
Primary practice address
1400 N Ih 35 Ste 320
Austin TX 78701-1926
Phone: (512) 324-8320
Fax: (512) 324-8326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 105445 | Minnesota |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 4301081432 | Michigan |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 105445 | Minnesota |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 54404 | Minnesota |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | P3315 | Texas |
Profile Details
| NPI number | 1053433375 |
|---|---|
| LBN Legal business name | Egeland, Brent Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Aug 7th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053433375 | NPPES |
| Iowa | MEDICAID | ENROLLED | |
| Iowa | MEDICAID | ENROLLED | |
| Iowa | MEDICAID | ENROLLED | |
| Iowa | Other | P01021688 |
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