Brent J Waterman in San Ramon - Sports Physician

Q: What is the unique provider identifier assigned to Brent J Waterman?

The Brent J Waterman has been issued the NPI (National Provider Identifier) 1225165392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Q: Where is the Brent J Waterman located?

The Brent J Waterman is located at 3160 Crow Canyon Rd., San Ramon, CA 94583.

Q: What is Brent J Waterman's specialized field of practice, and what is the corresponding taxonomy classification code?

The Brent J Waterman's area of specialization is Sports Physician, and the corresponding taxonomy code that categorizes this field of practice is 111Ns0005X.

Q: On what date was the 1225165392 assigned to Brent J Waterman?

The Brent J Waterman was issued its 1225165392 on 2007-02-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

Q: When was the Brent J Waterman's information last updated?

The Brent J Waterman's information was last updated on 2007-07-08.

Brent J Waterman - NPI 1225165392

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Brent J Waterman is a Sports Physician in San Ramon, California. Brent J Waterman practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Brent J Waterman is 1225165392. The last update date is 2007-07-08.

Brent J Waterman's current location address is 3160 Crow Canyon Rd., San Ramon, California. You can contact this provider via phone number 9252751990 and fax number 9252751993. The mailing address for Brent J Waterman is 3160 Crow Canyon Rd., San Ramon, California. To know further, please read the information below!

Provider Profile Detail

Provider Name	Brent J Waterman
Address	3160 Crow Canyon Rd., San Ramon, California
Phone Number	9252751990
Fax Number	9252751993
Sole Proprietor	Y
Credentials	D.C.

NPI Number Detail

NPI Number	1225165392
Provider Enumeration Date	2007-02-27
Last Updated Date	2007-07-08

Provider Mailing Address Detail

Address	3160 Crow Canyon Rd.
City	San Ramon
State	California (CA)
Post Code	94583
Phone Number	9252751990
Fax Number	9252751993

Provider's Primary Taxonomy Detail

Speciality	Sports Physician
Taxonomy	111Ns0005X
Licence No	13414
Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

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FAQs about Brent J Waterman

What is the unique provider identifier assigned to Brent J Waterman?

The Brent J Waterman has been issued the NPI (National Provider Identifier) 1225165392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Brent J Waterman located?

The Brent J Waterman is located at 3160 Crow Canyon Rd., San Ramon, CA 94583.

What is Brent J Waterman's specialized field of practice, and what is the corresponding taxonomy classification code?

The Brent J Waterman's area of specialization is Sports Physician, and the corresponding taxonomy code that categorizes this field of practice is 111Ns0005X.

On what date was the 1225165392 assigned to Brent J Waterman?

The Brent J Waterman was issued its 1225165392 on 2007-02-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Brent J Waterman's information last updated?

The Brent J Waterman's information was last updated on 2007-07-08.

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