1851314199 NPI number — JAMES F. BRINKMAN, MD, INC.

Table of content: (NPI 1851314199)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851314199 NPI number — JAMES F. BRINKMAN, MD, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JAMES F. BRINKMAN, MD, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851314199
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 5882
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OCEANSIDE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92052-5882
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
760-707-6871
Provider Business Mailing Address Fax Number:
760-231-9242

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5256 S MISSION RD
Provider Second Line Business Practice Location Address:
STE 703-008
Provider Business Practice Location Address City Name:
BONSALL
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92003-3614
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-707-6871
Provider Business Practice Location Address Fax Number:
760-231-9242
Provider Enumeration Date:
07/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BRINKMAN
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
FREDERIC
Authorized Official Title or Position:
PRESIDENT CEO DIRECTOR
Authorized Official Telephone Number:
760-707-6871

Provider Taxonomy Codes

  • Taxonomy code: 207QG0300X , with the licence number:  G75308 , 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)

  • Identifier: 1851314199 . This is a "CORPORATE NPI #" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 00G753080 . This is a "BC/BS PROVIDER #" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: G75308 . This is a "JFB'S STATE MED. LIC. #" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1326010257 . This is a "JFB'S INDIVID. NPI" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 00G753080 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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