Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT JACKSON MCDANIEL, D.O.
ActiveBRENT JACKSON MCDANIEL, D.O. is a General Practice healthcare provider located in NEWBERRY, Indiana. NPI 1356636575 is currently active in the NPPES registry. Verify at CMS.
General Practice · NEWBERRY, IN
Registration Details
- NPI Number
- 1356636575
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2011 (15.184089832935 yrs)
- Last Updated
- Oct 5, 2023
- Licenses
-
02004071A (IN)05348 (KY)02004071A (IN)
Practice Information
- Address
-
1985 E FREEDOM DRNEWBERRY, IN, 474497125Browse IN providers · Browse ZIP 47449
- Phone
- 2703144401
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- Anesthesiology
- Additional Specialty
- General Practice
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.