DR. BRENT DANIEL FORREST (NPI# 1487092797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487092797 |
| Entity Type | Individual |
| Full Name | DR. BRENT DANIEL FORREST |
| Credential | M.D. |
| Practice Address |
331 Sijen Ave Whiteman Afb MO 65305-1269 |
| Practice Telephone | 6606872157 |
| Practice Fax Number | 6606871148 |
| Mailing Telephone | 6606872157 |
| Mailing Fax Number | 6606871148 |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2018-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Street Address |
331 SIJEN AVE |
| City | WHITEMAN AFB |
| State | MO |
| Zip Code | 65305-1269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720071418 | Sean Kevin Fitzpatrick | Counselor | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2005-08-26 |
| 1992203764 | Dylan John Kielcheski | Military Health Care Provider | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2018-01-26 |
| 1023528064 | Melissa Nash Everage | Registered Nurse | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2017-10-04 |
| 1104375575 | Travis Cripps | Dentist | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2016-09-27 |
| 1598212904 | Kasie Hummel | Psychologist | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2016-09-01 |
| 1962899518 | Raven Lambert Welsh | Pediatrics | 331 Sijen Ave, Whiteman Afb, MO 65305 | 2015-04-22 |
| 1730574963 | Jacob Matthew Shepherd | Family Medicine | 331 Sijen Ave, Whiteman Afb, MO 65305 | 2015-04-03 |
| 1689064875 | Merlin Jewell | Military Health Care Provider | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2015-01-27 |
| 1811396781 | Rosenda Belmonte | Physician Assistant | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2014-08-17 |
| 1225444334 | 509th Medical Group -sgsr | Military/U.S. Coast Guard Pharmacy | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2014-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366928350 | Jeffrey D Bundrick | Physical Therapist | Whiteman Air Force Base, Knob Noster, MO 65305 | 2018-07-13 |
| 1841730280 | Joseph Sharp | Student in an Organized Health Care Education/Training Program | 162 Sijen Ave, Knob Noster, MO 65305 | 2017-03-05 |
| 1295116572 | Caleb James | Family Medicine | 331 Sijan, Whiteman Afb, MO 65305 | 2015-06-12 |
| 1679627814 | Linda May Jones | Social Worker | Whiteman Air Force Base 509 Medical Group, 331 Sijan Ave, Whiteman Afb, MO 65305 | 2007-01-23 |
| 1265454367 | Mary Anne Kiel | Pediatrics | 509th Medical Group, 331 Sijan Avenue, Whiteman Afb, MO 65305 | 2006-07-25 |
| 1760471635 | Tammy Colleen Karamarinov | Pharmacist | 331 Sijan Ave, Whiteman Afb, MO 65305 | 2005-10-13 |
| 1609419142 | Ryan H Boothe | Nurse Practitioner | 331 Sijan Ave Bldg 2032, Whiteman Afb, MO 65305 | 2019-10-28 |
| 1093358293 | Margaret Stepaniak | Pharmacist | 331 Sijan Ave, Whiteman Afb, MO 65305 | 2019-10-21 |
| 1407395213 | Matthew Robert Land | Physician Assistant | 331 Sijan Ave, Whiteman Afb, MO 65305 | 2017-02-14 |
| 1487020269 | Kelsey Geiger | Dentist | 331 Sijan Ave, Whiteman Afb, MO 65305 | 2015-08-17 |
| Find all providers in zip 65305 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073641650 | Hugh Mestres | Military Health Care Provider | 1038 Arbor Pointe Dr, Manchester, MO 63088-1458 | 2007-03-02 |
| 1912511593 | Kay Lynn Brunt | Military Health Care Provider | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-09-01 |
| 1235650797 | Jenae Stiles | Military Health Care Provider | 4430 Missouri Avenue, Fort Leonard Wood Optometry, Fort Leonard Wood, MO 65473 | 2017-07-05 |
| 1780956086 | Gabe Fuller | Military Health Care Provider | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2012-02-01 |
| 1750427761 | Sonny Ezebulunwor Ideozu | Military Health Care Provider | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2007-01-29 |
| City | WHITEMAN AFB |
| Zip Code | 65305 |
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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.