# BRENT JAY MEREDITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184847337
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 227536 | AK | Yes |
| 363A00000X | Physician Assistant | PA01436 | TX | — |
| 363A00000X | Physician Assistant | PADA1107 | AK | — |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 04/09/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 217002901 | — | TX |