CHARLES BRUHN (NPI# 1790895928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790895928 |
| Entity Type | Individual |
| Full Name | CHARLES BRUHN |
| Credential | M.D. |
| Practice Address |
227 N Jackson Ave San Jose CA 95116-1603 |
| Mailing Address |
400 Race St San Jose CA 95126-3518 |
| Practice Telephone | 4082783003 |
| Practice Fax Number | 4083472196 |
| Mailing Telephone | 4082783000 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
G41455 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G414550 | 05 |
| Street Address |
227 N JACKSON AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063461747 | Rasik Kansara | Internal Medicine | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2006-05-09 |
| 1871996520 | Misty Mallari | Registered Nurse | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2014-10-08 |
| 1427450592 | Caroline Ladines | Pharmacist | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2014-09-20 |
| 1639511488 | Maria S Govorkova | Ophthalmology | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2013-07-22 |
| 1013224633 | Verity Medical Foundation | Family Medicine | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2010-09-02 |
| 1073708541 | Vincent Liu | Internal Medicine | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2007-09-07 |
| 1750596755 | Timothy Earl Wiley | Technician/Technologist | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2007-05-11 |
| 1073648739 | Physicians Medical Group of San Jose, Inc. | Non-Pharmacy Dispensing Site | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2007-02-22 |
| 1487708855 | Unilab Corporation | Clinical Medical Laboratory | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2007-01-23 |
| 1326132515 | Mary J. Richardson | Registered Nurse | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2006-10-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1306333174 | Patrick Suezaki | Dentist | 250 Montclair Ave Ste C, San Jose, CA 95116 | 2018-04-17 |
| 1871016147 | Israel Enrique Ruiz Lora | Social Worker | 1075 East Santa Clara, San Jose, CA 95116 | 2017-07-19 |
| 1275072613 | Araceli Yazmin Garcia | Case Manager/Care Coordinator | 1652 E San Fernando St, San Jose, CA 95116 | 2017-02-17 |
| 1710304712 | Natalie K. Huynh D.d.s Inc. | Dentist | 2340 Mckee Rd #24, San Jose, CA 95116 | 2014-03-27 |
| 1437597747 | Ian Ellis Mccoy | Internal Medicine | 2360 Mckee Rd Ste 10, San Jose, CA 95116 | 2013-06-08 |
| 1588913321 | Adrian Fernandez | Counselor | 1245 East Santa Clara Street, San Jose, CA 95116 | 2012-09-07 |
| 1851678841 | Krystal Lani Subia | Counselor | 101 Jose Figueres Avenue, San Jose, CA 95116 | 2011-11-04 |
| 1255668224 | Sophia O.j.m. Dijkstra | Physical Therapist | 180 N. Jackson Ave, San Jose, CA 95116 | 2009-11-11 |
| 1255562096 | Jovan De Guzman Sedilla | Physical Therapy Assistant | 180 N. Jackson Ave., San Jose, CA 95116 | 2009-07-28 |
| Find all providers in zip 95116 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619188497 | Pacific Endocrine Diabetes Health Center, Inc. | Internal Medicine | 25 N 14th St Ste 920, San Jose, CA 95112-6216 | 2007-05-24 |
| 1053569228 | Patricia Marie Salmon | Internal Medicine | 751 S Bascom Ave, Valley Specialty Center, Suite 210, San Jose, CA 95128-2604 | 2008-08-29 |
| 1689839425 | Jasdev Singh Gondal | Internal Medicine | 5855 Silver Creek Valley Place, San Jose, CA 95138 | 2008-07-21 |
| 1306000369 | Laurel Anne Mcclure | Internal Medicine | 751 S Bascom Ave, Dept. of Medicine, San Jose, CA 95128-2604 | 2008-07-17 |
| 1821283524 | Joselito Cabaccan, Md | Internal Medicine | 2680 S White Rd, Suite 265, San Jose, CA 95148-2074 | 2007-09-06 |
| 1285836403 | Nicole Coghlan Borau | Internal Medicine | 2585 Samaritan Dr, San Jose, CA 95124-4107 | 2007-06-01 |
| 1164554051 | Anuradhika Kandula | Internal Medicine | 2690 S White Rd Ste 50, San Jose, CA 95148-2075 | 2007-03-09 |
| 1144358581 | David L Peterson Md | Internal Medicine | 393 Blossom Hill Rd, Ste 260, San Jose, CA 95123-1652 | 2007-02-28 |
| 1912083429 | Lynn A. Dowdell | Internal Medicine | 260 International Cir, San Jose, CA 95119-1130 | 2006-10-27 |
| 1669558185 | Patricia B. Kan | Internal Medicine | 260 International Cir, San Jose, CA 95119-1130 | 2006-10-27 |
| Find all providers in SAN JOSE | ||||
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| 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.