Individual
BRENT R. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-5860
(302) 651-4227
Mailing address
P.O. BOX 191, ROCKLAND, DE 19723-0191
(302) 651-4000
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G5250
TX
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
C10010378
DE
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
G5250
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
G5250
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137016503
—
TX
01
—
137016510
CSHCN
TX
01
—
82988K
BCBS
TX
Enumeration date
06/14/2006
Last updated
07/25/2013
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