Healthcare Provider Details

I. General information

NPI: 1780711879
Provider Name (Legal Business Name): ELIZABETH LEIGH BRENT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 S 9TH ST
PITTSBURGH PA
15203-1267
US

IV. Provider business mailing address

1200 REEDSDALE ST STE 1
PITTSBURGH PA
15233-2111
US

V. Phone/Fax

Practice location:
  • Phone: 877-637-2924
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101256624
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD492432
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number14161
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: