Woodbury, Brent Gray
Woodbury, Brent Gray is an individual health care provider with primary practice located at 5409 Avenue O , Fort Madison IA 52627-9601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Woodbury, Brent Gray can be contacted via phone (319) 376-2134.Contact Information
Primary practice address
5409 Avenue O
Fort Madison IA 52627-9601
Phone: (319) 376-2134
Fax: (319) 376-2188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 94-06593 | Kansas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 39649 | Iowa |
Profile Details
| NPI number | 1558412130 |
|---|---|
| LBN Legal business name | Woodbury, Brent Gray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Oct 6th, 2011 - about 14 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 | 1558412130 | NPPES |
| Iowa | MEDICAID | 1558412130 | |
| Iowa | Other | 1558412130 |
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