# BRETT ALLEN MANTHEY

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

## Provider details

- **NPI number:** 1407855810
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0102201460 | VA | Yes |

## Other

- **Enumeration date:** 07/18/2005
- **Last updated:** 01/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010391873 | — | VA |
| 01 | — | P00052646 | RAILROAD MEDICARE | VA |