Individual
BRENT ALAN PARKER
Active
Individual
BRENT ALAN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01090848A
IN
207L00000X
Anesthesiology Physician
M2741
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004PH
BLUE SHIELD
TX
01
—
1103150970
ANTHEM PTAN
IN
01
—
264430I12
MEDICARE PTAN
IN
05
—
300081598
—
IN
01
—
815500693
MEDICARE PTAN
IN
01
—
8M2468
MEDICARE
TX
01
—
Q00572843
RAILROAD PTAN
IN
Enumeration date
03/20/2007
Last updated
03/02/2026
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