Provider Demographics
NPI:1396557633
Name:VALENTINE, BRETT DENLEY
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:DENLEY
Last Name:VALENTINE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 GREENFIELD ST APT 233
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-6293
Mailing Address - Country:US
Mailing Address - Phone:601-270-1353
Mailing Address - Fax:
Practice Address - Street 1:5023 MARKET ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-3429
Practice Address - Country:US
Practice Address - Phone:910-442-3443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-23
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program