MEDICARE: DR. BRENDA ELAINE FIELD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME 75482	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477522241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRENDA ELAINE FIELD MD

Provider Business Mailing Address
First Line	:	8000 RON BEATTY BLVD
Second Line	:	SUITE A-3
City	:	BAREFOOT BAY
State	:	FL
Zip	:	32976-7474
Country	:	US
Telephone Number	:	772-664-1388
Fax Number	:	772-664-1391

Provider Business Practice Location Address
First Line	:	8000 RON BEATTY BLVD
Second Line	:	SUITE A-3
City	:	BAREFOOT BAY
State	:	FL
Zip	:	32976-7474
Country	:	US
Telephone Number	:	772-664-1388
Fax Number	:	772-664-1391

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	07/02/2013

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