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

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 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".