Provider Demographics
NPI:1336028513
Name:VOBR, BRENT DAVID
Entity type:Individual
Prefix:
First Name:BRENT
Middle Name:DAVID
Last Name:VOBR
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 1:645 HODGE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-9227
Mailing Address - Country:US
Mailing Address - Phone:319-415-0906
Mailing Address - Fax:
Practice Address - Street 1:701 W FOREVERGREEN RD
Practice Address - Street 2:
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-9848
Practice Address - Country:US
Practice Address - Phone:415-485-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA150267163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency