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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G43549 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PENDING | 05 |
| Street Address |
4460 E HUNTINGTON AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93702-2962 |
| 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 |
| 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 Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| 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 | ||||
Please comment or provide details below to improve the information on FREDERIC WALTER BRUHN.
| 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.