Individual
BRENT JOHN BEHRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
8040 S 13TH ST, LINCOLN, NE 68512-9371
(402) 423-1111
(402) 423-0365
Mailing address
8040 S 13TH ST, LINCOLN, NE 68512-9371
(402) 423-1111
(402) 423-0365
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1037
NE
207NP0225X
Pediatric Dermatology Physician
1037
NE
207NS0135X
Procedural Dermatology Physician
1037
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
281938
MEDICARE ID
—
Enumeration date
09/20/2006
Last updated
03/16/2021
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