1154894699 NPI number — MR. ORPHEUS GABRIEL BUSTER-BROWN

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154894699 NPI number — MR. ORPHEUS GABRIEL BUSTER-BROWN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BUSTER-BROWN
Provider First Name:
ORPHEUS
Provider Middle Name:
GABRIEL
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BROWN
Provider Other First Name:
ORPHEUS
Provider Other Middle Name:
GABRIEL
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1154894699
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/08/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
135 PAUL DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN RAFAEL
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94903
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-492-4444
Provider Business Mailing Address Fax Number:
415-492-8844

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
135 PAUL DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN RAFAEL
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94903
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-492-4444
Provider Business Practice Location Address Fax Number:
415-492-8844
Provider Enumeration Date:
01/08/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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