DR. BRETT DEATHERAGE


Address: Scott & White Healthcare - Internal Medicine, 2401 S. 31st St., Temple, TX 76508
Phone: 2547242364

DR. BRETT DEATHERAGE (NPI# 1669821070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669821070
Entity Type Individual
Full Name DR. BRETT DEATHERAGE
Credential M.D.
Practice Address Scott & White Healthcare - Internal Medicine
2401 S. 31st St.
Temple
TX 76508
Practice Telephone 2547242364
Mailing Telephone 2547242364
Enumeration Date 2016-06-07
Last Update Date 2016-06-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 10057590 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX PHYSICIANS-IN-TRAINING PERMIT 10057590 01

Office Location

Street Address SCOTT & WHITE HEALTHCARE - INTERNAL MEDICINE
2401 S. 31ST ST.
City TEMPLE
State TX
Zip Code 76508

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619596491 Samuel Adrian Matthys Student in an Organized Health Care Education/Training Program 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 2020-04-13
1700414968 Darshan Patel Student in an Organized Health Care Education/Training Program 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 2020-03-31
1992332134 Kiersi Harmon Student in an Organized Health Care Education/Training Program 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 2020-03-26
1053948851 Christian Beltran Student in an Organized Health Care Education/Training Program 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 2020-03-24
1790311850 Chinyere Ashley Onyirimba Student in an Organized Health Care Education/Training Program Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 2020-03-19
1578022398 Kedric Glenn Student in an Organized Health Care Education/Training Program 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 2019-03-19
1518426592 Muhammad Imran Bhatti Student in an Organized Health Care Education/Training Program Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 2019-03-18
1780143883 Nathaniel Clayton Palmer Student in an Organized Health Care Education/Training Program 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 2019-03-18
1235620741 Fahmida Musharof Student in an Organized Health Care Education/Training Program 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 2018-05-21
1275038325 Robert Casey Alan Finch Student in an Organized Health Care Education/Training Program 2401 S 31st St, Ms-ck-300, Temple, TX 76508 2018-03-29
Find all providers in zip 76508

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750910436 John S Kelley Internal Medicine 2401 S 31st St # Ms -ag, Temple, TX 76508-0001 2020-04-05
1477073161 Sheena Simon Internal Medicine Scott and White Memorial Hospital 2401 S St, Temple, TX 76508-0001 2017-06-22
1033646252 Hannah Pederson Internal Medicine 2401 S 31st St # Ms 27104a, Temple, TX 76508-0001 2017-05-18
1770961484 Amy Elizabeth Barnett Internal Medicine Department of Internal Medicine 2401 S 31st St, Temple, TX 76508-0001 2015-05-13
1265878045 Rachael Lea Pattison Internal Medicine 7921 Honeysuckle, Temple, TX 76502-5554 2013-05-20
1376886853 Zunair Nazim Afghani Internal Medicine 2401 S 31st St # 9c513c, Temple, TX 76508 2013-04-03
1710245162 Constance Larea Cole Internal Medicine 463 Westfield Blvd, Apt. 836, Temple, TX 76502-5318 2012-04-23
1891089025 Aruna Lakshmi Jahoor Internal Medicine Dept of Internal Medicine 1605 S 31st St, Temple, TX 76508-0001 2011-06-06
1689814386 Mammen Ashish Sam Internal Medicine 2416 S 13th St Apt 626, Temple, TX 76504-7815 2009-02-20
1013165000 Seetha Kannan Internal Medicine 2409 Pin Oak Dr, Temple, TX 76502-2662 2008-09-03
Find all providers in TEMPLE

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City TEMPLE
Zip Code 76508

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Dataset Information

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.

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