Individual
BRENT DEMANBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1180085
IL
363AS0400X
Surgical Physician Assistant
Primary
PA213402
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1180085
NCCPA
IL
01
—
156310
ARDMS
OR
Enumeration date
01/22/2021
Last updated
07/15/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up