FREDERIC WALTER BRUHN


Address: 4460 E Huntington Ave, Fresno, CA 93702-2962
Phone: 5594594300

FREDERIC WALTER BRUHN (NPI# 1629187448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629187448
Entity Type Individual
Full Name FREDERIC WALTER BRUHN
Credential M.D.
Practice Address 4460 E Huntington Ave
Fresno
CA 93702-2962
Mailing Address 765 Calle Los Olivos
San Clemente
CA 92673-2717
Practice Telephone 5594594300
Practice Fax Number 5594594569
Mailing Telephone 5597602202
Enumeration Date 2006-08-29
Last Update Date 2008-12-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics G43549 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA PENDING 05

Office Location

Street Address 4460 E HUNTINGTON AVE
City FRESNO
State CA
Zip Code 93702-2962

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457457756 Nathan Luna Pediatrics 4460 E Huntington Ave, Fresno, CA 93702-2962 2006-09-15
1548379605 Bjorn Nilson Pediatrics 4460 E Huntington Ave, Fresno, CA 93702-2962 2006-08-30
1225147424 Robert Kezirian Pediatrics 4460 E Huntington Ave, Fresno, CA 93702-2962 2006-08-30
1427167634 James Kratzer Pediatrics 4460 E Huntington Ave, Fresno, CA 93702-2962 2006-08-30
1033228838 Shaun Berger Pediatrics 4460 E Huntington Ave, Fresno, CA 93702-2962 2006-08-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730644543 Brandy Eugena Dickey Licensed Vocational Nurse 496 S. Barton St., Fresno, CA 93702 2019-02-06
1205308269 Kelly Ramirez Counselor 496 S. Barton St, Fresno, CA 93702 2018-12-31
1518437995 Kimberlin Ann Klein Licensed Vocational Nurse 4411 E Kings Canyon Rd #319, Fresno, CA 93702 2018-11-28
1932677317 Simone Danielle Cato Counselor 496 S Barton St, Fresno, CA 93702 2018-11-05
1558879841 Mekdes Elizabeth Yilma Marriage & Family Therapist 4144 E. Kings Canyon Rd., Fresno, CA 93702 2018-01-20
1831647874 Rick Foster Registered Nurse 441 East Kings Canyon Ave, Fresno, CA 93702 2016-09-20
1770935140 Diana L. Eaglin Registered Nurse 4409 E. Inyo St., Modular A, Fresno, CA 93702 2016-07-08
1700257243 Elizabeth Lee Registered Nurse 4411 E.kings Canyon Rd, Fresno, CA 93702 2015-10-09
1548657299 Brandi Lynn Rieux Counselor 496 S. Barton Ave, Fresno, CA 93702 2015-04-21
1891069548 Tamara Taylor Case Manager/Care Coordinator 890 S. Tenth Street, Fresno, CA 93702 2012-02-28
Find all providers in zip 93702

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609397405 Devon Brooke Ward Pediatrics 4770 W Herndon Ave Ste 108, Fresno, CA 93722-8401 2017-06-30
1871024091 Ali S Arastu Pediatrics Valley Children's Hospital, 9300 Valley Children's Place, Fresno, CA 93720 2017-03-21
1811351992 Paulinder Ranu Pediatrics 5557 E King Cyn Rd, Fresno, CA 93727 2016-04-05
1811398712 Cathy Xu Md Pediatrics 4646 N 1st St, Ste 102, Fresno, CA 93726-0973 2014-09-10
1073860680 Gulafsha Chaudhary Pediatrics 7720 N Fresno St Ste 104, Fresno, CA 93720-2407 2012-08-14
1487919155 Trenton Ross Hubbard Pediatrics 1125 E Spruce Ave Ste 101, Fresno, CA 93720-3387 2012-07-09
1356641013 Janelle Fong Pediatrics 5088 N. Fresno St, Suite A, Fresno, CA 93710 2010-10-28
1194965806 Lynda Margaret Dickerson Khouzam Pediatrics 1684 W Shaw Ave, Suite 101, Fresno, CA 93711-3517 2009-02-20
1396921482 Valley Children's Medical Center, A.m.c. Pediatrics 4646 N 1st St Ste 102, Fresno, CA 93726-0973 2008-01-18
1982808846 Nicole Tere Banh Pediatrics 7055 N Chestnut Ave Ste 106, Fresno, CA 93720-0350 2007-06-13
Find all providers in FRESNO

Competitor

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City FRESNO
Zip Code 93702

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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