Brent Deatherage, PA-C
Brent Deatherage, PA-C holds NPI 1336373257, with a primary taxonomy of medical physician assistant and a practice location in Charlotte, NC. The number was issued on May 6, 2009 and the NPPES record was last updated on August 10, 2012. The record lists 2 taxonomy codes.
This record hasn't been updated in NPPES since 2012. Details may be out of date.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0010-03428 (NC) |
| Surgical Physician Assistant | 363AS0400X | PA9104956 (FL) |
Practice location
Local context
Active NPPES records list 178 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 124 of them within 10 miles.
The same primary taxonomy is listed by 1,395 in North Carolina and 40,084 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Brent Charles Deatherage
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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curl -H "Authorization: Bearer YOUR_API_KEY" \ "https://api.npilayer.com/v1/providers/1336373257"