BRENT ALEXANDER BURKET (NPI# 1720048168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720048168 |
| Entity Type | Individual |
| Full Name | BRENT ALEXANDER BURKET |
| Credential | MD |
| Practice Address |
704 Lebec Road Lebec CA 93243 |
| Mailing Address |
Po Box 1559 Bakersfield CA 93302-1559 |
| Practice Telephone | 6612485250 |
| Practice Fax Number | 6612485279 |
| Mailing Telephone | 6616353050 |
| Mailing Fax Number | 6616353070 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2016-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G84835 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD24036 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 022868 | 05 | |
| FEDERAL TAX ID | 943096772 | 01 |
| Street Address |
704 LEBEC ROAD |
| City | LEBEC |
| State | CA |
| Zip Code | 93243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811011679 | Clinica Sierra Vista | Clinic/Center | 704 Lebec Road, Lebec, CA 93243 | 2007-03-19 |
| 1215061528 | Clinca Sierra Vista | Clinic/Center | 704 Lebec Road, Lebec, CA 93243 | 2007-03-16 |
| 1235249012 | John Grant | Family Medicine | 704 Lebec Road, Lebec, CA 93243 | 2006-08-30 |
| 1518904903 | Jennifer Thoene | Family Medicine | 704 Lebec Road, Lebec, CA 93243 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225383045 | Diane Tatjana Cosko | Veterinarian | 837 Lebec Rd., Lebec, CA 93243 | 2012-07-18 |
| 1326327693 | Clinica Sierra Vista | Counselor | 700 Falcon Way, Lebec, CA 93243 | 2011-08-04 |
| 1821119595 | Mariaannabella Rusen Porazik | Dentist | 2045 Lebec Rd., Lebec, CA 93243 | 2007-04-02 |
| 1467506444 | Peter Porazik | Dentist | 2045 Lebec Road, Lebec, CA 93243 | 2007-01-23 |
| 1457353831 | Clinca Sierra Vista | Clinic/Center | 704 Lebec Rd, Lebec, CA 93243 | 2005-08-15 |
| 1376790527 | Robert Martinez | Family Medicine | 704 Lebec Rd, Lebec, CA 93243 | 2008-08-19 |
| 1174543912 | Xtreme Medical Inc | Durable Medical Equipment & Medical Supplies | 49744 Gorman Post Rd, 4, Gorman, CA 93243-9701 | 2006-07-21 |
| 1952755738 | El Tejon Unified School District | Local Education Agency (LEA) | 4337 Lebec Rd, Lebec, CA 93243-9705 | 2016-04-19 |
| 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 |
|---|---|---|---|---|
| 1376790527 | Robert Martinez | Family Medicine | 704 Lebec Rd, Lebec, CA 93243 | 2008-08-19 |
| 1235249012 | John Grant | Family Medicine | 704 Lebec Road, Lebec, CA 93243 | 2006-08-30 |
| 1518904903 | Jennifer Thoene | Family Medicine | 704 Lebec Road, Lebec, CA 93243 | 2006-06-02 |
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|---|---|---|---|---|
| 1902407711 | Prohealth Partners A Medical Group | Family Medicine | 3700 Katella Ave Ste D, Los Alamitos, CA 90720-6410 | 2020-11-06 |
| 1831790112 | Universal Healthcare Services, Inc. | Family Medicine | 6025 Niles St, Bakersfield, CA 93306-4696 | 2020-11-04 |
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1417558842 | San Judas Tadeo Medical Group, Inc. | Family Medicine | 1000 S La Brea Ave Ste 2, Inglewood, CA 90301-3869 | 2020-11-03 |
| 1174123038 | Socal Medical Center., Inc. | Family Medicine | 1350 E Los Angeles Ave Ste 204, Simi Valley, CA 93065-2860 | 2020-10-29 |
| 1205435864 | Montana Affinity LLC | Family Medicine | 820 N Mountain Ave Ste 103, Upland, CA 91786-4163 | 2020-10-23 |
| 1861091126 | Silvia Diego Md Inc A Professional Medical Corp | Family Medicine | 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 | 2020-10-19 |
| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
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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.