Dr Brad Sumrell, MD | |
275 W Herndon Ave, Clovis, CA 93612-0204 | |
(559) 324-6200 | |
(559) 324-6280 |
Full Name | Dr Brad Sumrell |
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Gender | Male |
Speciality | Pediatrics |
Location | 275 W Herndon Ave, Clovis, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952382749 | NPI | - | NPPES |
77040368493612B002 | Other | CA | CHAMPUS |
00A401820 | Medicaid | CA | |
00A401820 | Other | CA | BLUE CROSS/BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A40182 (California) | Primary |
Entity Name | Community Foundation Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811258510 PECOS PAC ID: 0345406294 Enrollment ID: O20120723000387 |
Mailing Address | Practice Location Address |
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Dr Brad Sumrell, MD 275 W Herndon Ave, Clovis, CA 93612-0204 Ph: (559) 324-6200 | Dr Brad Sumrell, MD 275 W Herndon Ave, Clovis, CA 93612-0204 Ph: (559) 324-6200 |
Dr. Dianne Hubbard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 275 W Herndon Ave, Clovis, CA 93612 Phone: 559-324-6200 Fax: 559-324-6280 | |
Elizabeth Ashley Black, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 726 N Medical Center Dr E Ste 209, Clovis, CA 93611 Phone: 559-325-5656 Fax: 559-325-5568 | |
Dr. Merle Martin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 275 W Herndon Ave, Clovis, CA 93612 Phone: 559-324-6200 Fax: 559-324-6280 | |
Manish Babaji Malkar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 726 N Medical Center Dr E Ste 209, Clovis, CA 93611 Phone: 559-325-5568 Fax: 559-325-5656 | |
Norma E. Figueroa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2071 Herndon Ave, Clovis, CA 93611 Phone: 559-324-5100 | |
Dr. Menouchehr Bazyani, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2497 Herndon Ave, Clovis, CA 93611 Phone: 800-492-4227 | |
John Moua, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 726 N Medical Center Dr E Ste 209, Clovis, CA 93611 Phone: 559-325-5656 Fax: 559-325-5568 |