NPI
Brent Allen Mcdonald
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- D.D.S.
- Type
- Individual
- Enumeration date
- 2006-11-20
- Last updated
- 2007-07-08
Specialties
Licenses
- License IN
- 12010363A
Location
- Practice location
- 5842 W Broadway
- City
- Mc Cordsville IN
- Postal code
- 46055-9343
- Phone
- (317) 336-7788
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Mc Cordsville, IN. 23 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.