Nathan R Brakke in San Diego - Pediatric Anesthesiology
Nathan R Brakke - NPI 1972716470
Nathan R Brakke is a Pediatric Anesthesiology in San Diego, California. Nathan R Brakke practices all healthcare services and medical treatments related to Pediatric Anesthesiology. The NPI Number for Nathan R Brakke is 1972716470. The last update date is 2009-10-21.
Nathan R Brakke's current location address is 3626 Ruffin Rd, San Diego, California. You can contact this provider via phone number 8585659666 and fax number 8585659441. The mailing address for Nathan R Brakke is 3626 Ruffin Rd, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nathan R Brakke |
|---|---|
| Address | 3626 Ruffin Rd, San Diego, California |
| Phone Number | 8585659666 |
| Fax Number | 8585659441 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1972716470 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2009-10-21 |
Provider Mailing Address Detail
| Address | 3626 Ruffin Rd |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921231810 |
| Phone Number | 8585659666 |
| Fax Number | 8585659441 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Anesthesiology |
|---|---|
| Taxonomy | 207Lp3000X |
| Licence No | A108775 |
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Definition: An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the eva |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1972716470 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Nathan R Brakke?
The Nathan R Brakke has been issued the NPI (National Provider Identifier) 1972716470 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Nathan R Brakke is physically located?
The Nathan R Brakke is physically situated at the following address: 3626 Ruffin Rd, San Diego, CA, 921231810.
What is Nathan R Brakke's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Nathan R Brakke's specialized field of practice is Pediatric Anesthesiology, and the corresponding taxonomy code that categorizes this area of specialization is 207Lp3000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1972716470 to Nathan R Brakke?
The Centers for Medicare & Medicaid Services assigned the 1972716470 to Nathan R Brakke on 2007-05-08.
As of what date was the information pertaining to Nathan R Brakke, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Nathan R Brakke, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-10-21.
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