Provider Demographics
NPI:1316107592
Name:MORRIS, BRENT JOSEPH (MD)
Entity type:Individual
Prefix:
First Name:BRENT
Middle Name:JOSEPH
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5200 COMMERCE CROSSING
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229-2182
Mailing Address - Country:US
Mailing Address - Phone:502-253-4900
Mailing Address - Fax:502-489-5751
Practice Address - Street 1:1760 NICHOLASVILLE RD STE 101
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1410
Practice Address - Country:US
Practice Address - Phone:859-899-7950
Practice Address - Fax:859-260-5150
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2020-12-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP4682207X00000X
KY47272207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100308160Medicaid