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Individual
DR. BRENT JAMES MICHAEL
Active
Individual
DR. BRENT JAMES MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A81591
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018000940001
ONE HEALTH PLAN
—
01
—
00A815910
BLUE SHIELD HMO
—
01
—
0EL054
BLUE CROSS OF CA
—
01
—
105958
HEALTH NET
—
01
—
11672120
PACIFICCARE
—
01
—
7410555
AETNA
—
01
—
906487
CIGNA
—
01
—
QX0297
SR
—
Enumeration date
12/22/2006
Last updated
05/14/2021
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