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Individual
BRIAN SCOTT PENTON
Active
Individual
BRIAN SCOTT PENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A84188
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A841880
—
CA
01
—
A84188
NHIC- MEDICARE INDV PROVIDER NUMBER
CA
01
—
BV188Z
MEDICARE INDV PTAN NUMBER- PALMETTO GBA
CA
Enumeration date
05/23/2006
Last updated
11/03/2023
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