Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRENT EARL PARKER JR., ATP
Active Sole ProprietorMR. BRENT EARL PARKER JR., ATP is a Customized Equipment (DME) healthcare provider located in IDAHO FALLS, Idaho. NPI 1285194134 is currently active in the NPPES registry. Verify at CMS.
Customized Equipment (DME) · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1285194134
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2019 (7.3988707895529 yrs)
- Last Updated
- Apr 22, 2025
- License
-
3586 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
211 S WOODRUFF AVE STE B10IDAHO FALLS, ID, 834014866Browse ID providers · Browse ZIP 83401
- Phone
- 2085537805
- Primary Specialty
-
Customized Equipment (DME)
332BC3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.