Individual
BRENT ALBERT BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 S GEORGE ST, YORK HOSPITAL - EMERGENCY MEDICINE ADMINISTRATION, YORK, PA 17403-3676
(717) 851-2450
(717) 851-3469
Mailing address
1803 MOUNT ROSE AVE, SUITE B3, YORK, PA 17403-3026
(717) 851-1405
(717) 851-3469
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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