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Individual
BRENT ALBERT BECKER
Active
Individual
BRENT ALBERT BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD442810
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102618082
—
PA
01
—
1598354
GATEWAY
PA
01
—
2629481
HIGHMARK BLUE SHIELD
PA
01
—
30101227
AMERIHEALTH MERCY-YH
PA
01
—
417516
UPMC
PA
Enumeration date
11/23/2007
Last updated
06/10/2016
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