Provider Demographics
NPI:1992929368
Name:MORRIS, BRENT JEROME (MD)
Entity type:Individual
Prefix:DR
First Name:BRENT
Middle Name:JEROME
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 1446
Mailing Address - Street 2:
Mailing Address - City:DYERSBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38025-1446
Mailing Address - Country:US
Mailing Address - Phone:731-427-9971
Mailing Address - Fax:731-427-9973
Practice Address - Street 1:28 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-3947
Practice Address - Country:US
Practice Address - Phone:731-427-9971
Practice Address - Fax:731-427-9973
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2019-07-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN46413208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology