DR. BRENT LEE PENNINGTON (NPI# 1205098753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205098753 |
| Entity Type | Individual |
| Full Name | DR. BRENT LEE PENNINGTON |
| Credential | M.D. |
| Practice Address |
600 Elizabeth St Corpus Christi TX 78404-2235 |
| Mailing Address |
Po Box 61160 Corpus Christi TX 78466-1160 |
| Practice Telephone | 3618842904 |
| Practice Fax Number | 3618570572 |
| Mailing Telephone | 3618842904 |
| Mailing Fax Number | 3618570572 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2020-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | P7534 | TX | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | P7534 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS MEDICAL BOARD | P7534 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 107 1/2 Swift St, Refugio, TX 783772425 | 3615265328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881670719 | Brent E Pennington | Dermatology | 2301 21st Ave S, Nashville, TN 37212-4908 | 2005-12-22 |
| 1386629350 | Brent Pennington | Internal Medicine | 116 Long Pond Rd Ste 4, Plymouth, MA 02360-2663 | 2005-12-13 |
| 1144471400 | Brent W Pennington | Dentist | 37 Gateway Business Park Dr, Ringgold, GA 30736-7395 | 2008-10-06 |
| Street Address |
600 ELIZABETH ST |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78404-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581399 | Joe A Lewis | Pathology | 600 Elizabeth St, Corpus Christi, TX 78404-2235 | 2005-07-08 |
| 1164031159 | Ana Lisa Lopez | Nurse Practitioner | 600 Elizabeth St, Corpus Christi, TX 78404-2235 | 2020-07-27 |
| 1033727177 | Ashley Riesberg | Nurse Anesthetist, Certified Registered | 600 Elizabeth St, Corpus Christi, TX 78404-2235 | 2020-07-15 |
| 1376166710 | Coastal Bend Family Practice, Pa | Family Medicine | 600 Elizabeth St, Corpus Christi, TX 78404-2235 | 2020-05-20 |
| 1679102446 | Noor Ahmed | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Corpus Christi, TX 78404-2235 | 2020-04-03 |
| 1629607486 | Ko Choi | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Corpus Christi, TX 78404-2235 | 2020-04-03 |
| 1821626144 | Kaitlin Hunt | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Corpus Christi, TX 78404-2235 | 2020-03-31 |
| 1407484306 | Kayla Gray Vanderkooi | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Corpus Christi, TX 78404-2235 | 2020-03-28 |
| 1396373213 | Jacquelyn Callahan | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Corpus Christi, TX 78404-2235 | 2020-03-27 |
| 1841828852 | Brook Alicia Danboise | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Corpus Christi, TX 78404-2235 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810866 | Eileen Michelle Isaacs | Social Worker | 1315 Sante Fe St. Ste. 215, Corpus Christi, TX 78404 | 2020-08-05 |
| 1386109791 | Sanil John | Specialist/Technologist, Other | South Texas Brain and Spine Centers, 1227 3rd St, Corpus Christi, TX 78404 | 2019-02-11 |
| 1114422599 | Paul Jackson | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Gme, Corpus Christi, TX 78404 | 2018-03-27 |
| 1740704303 | Edwin Gabriel Otero | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St # 9b, Corpus Christi, TX 78404 | 2017-07-26 |
| 1053832170 | Melissa D Ponder | Emergency Medicine | 600 Elizabeth St Ste 6b, Corpus Christi, TX 78404 | 2017-06-28 |
| 1821533480 | Collen Mora | Nurse Practitioner | 1533 5th Street, Coprus Christi, TX 78404 | 2017-01-05 |
| 1013365717 | Terri L Sutphin | Speech-Language Pathologist | 1001 Louisiana Ave., Ste #402, Corpus Christi, TX 78404 | 2016-06-03 |
| 1982067872 | Janareddy Mandadi | Pharmacist | 1335 Santa Fe, Shoreline Pharmacy, Corpus Christi, TX 78404 | 2016-03-30 |
| 1932514007 | Debra Carpenter Guzman | Nurse Practitioner | 1600 S Staples, Ste 150, Corpus Christi, TX 78404 | 2014-06-26 |
| 1083037451 | Michelle Lynn Freshcoln Talbert | Registered Nurse | 309 Ohio Ave., Corpus Christi, TX 78404 | 2014-01-21 |
| Find all providers in zip 78404 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737158 | Christopher Lawrence Dematt | Family Medicine | 14254 S Padre Island Dr, Corpus Christi, TX 78418-6277 | 2020-07-15 |
| 1487216032 | Robert W. Galbreath | Family Medicine | 3515 S Alameda St, Corpus Christi, TX 78411 | 2019-07-03 |
| 1669997953 | Keeps Medical Group, P.a. | Family Medicine | 13715 Hillwood Trl, Corpus Christi, TX 78410-4802 | 2017-08-07 |
| 1407376429 | Jessica L Six | Family Medicine | 1025 Morgan Ave, Corpus Christi, TX 78404-2041 | 2017-06-21 |
| 1568829778 | Salang Health Solutions LLC | Family Medicine | 4833 S Staples St Unit B, Corpus Christi, TX 78411-2609 | 2016-01-19 |
| 1124401088 | Jonathan Dancel | Family Medicine | 7218 S Padre Island Dr, Apt 38c, Corpus Christi, TX 78412-4332 | 2015-07-09 |
| 1114314119 | Shery Malaty | Family Medicine | 2606 Hospital Blvd 5 West, Corpus Christi, TX 78405 | 2015-04-17 |
| 1437400058 | Physicians Express Pllc | Family Medicine | 4929 Burney Dr Ste 120, Corpus Christi, TX 78411-2708 | 2012-09-21 |
| 1740557552 | Myriah Willborn | Family Medicine | 5802 Saratoga Blvd Ste 150, Corpus Christi, TX 78414-4254 | 2011-11-22 |
| 1639408974 | Coastal Bend Primary Care Corp | Family Medicine | 4621 S Staples, Suite A, Corpus Christi, TX 78411-2605 | 2009-12-16 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.