Provider Demographics
NPI:1528098340
Name:HOOD, BRENT (DO)
Entity type:Individual
Prefix:DR
First Name:BRENT
Middle Name:
Last Name:HOOD
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Gender:M
Credentials:DO
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Mailing Address - Street 1:2207 OSBORNE DR W
Mailing Address - Street 2:SUITE #100
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-9112
Mailing Address - Country:US
Mailing Address - Phone:402-462-2139
Mailing Address - Fax:402-462-2381
Practice Address - Street 1:2207 OSBORNE DR W
Practice Address - Street 2:SUITE #100
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-9112
Practice Address - Country:US
Practice Address - Phone:402-462-2139
Practice Address - Fax:402-462-2381
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2015-08-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE1096363A00000X
NE6289207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEQ1128Medicare UPIN