| Brundage Medical | |
|
904 E Brundage Ln Bakersfield CA 93307-3467 | |
| (661) 327-4279 | |
| (661) 325-4216 |
| Full Name | Brundage Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 904 E Brundage Ln, Bakersfield, California |
| Authorized Official Name and Position | Jerry Curtis Fox (OWNER) |
| Authorized Official Contact | 6613274279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brundage Medical 904 E Brundage Ln Bakersfield CA 93307-3467 Ph: (661) 327-4279 | Brundage Medical 904 E Brundage Ln Bakersfield CA 93307-3467 Ph: (661) 327-4279 |
| NPI Number | 1942293550 |
|---|---|
| Provider Enumeration Date | 08/30/2005 |
| Last Update Date | 07/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942293550 | NPI | - | NPPES |
| GR0018760 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A24108 (California) | Primary |
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