Brian James Baumgartner
Otolaryngologist (ENT Doctor)
2615 E Clinton Ave # 112
Fresno
, California 93703-2223
Brian James Baumgartner
Otolaryngologist (ENT Doctor)
2615 E Clinton Ave # 112
Fresno
, California 93703-2223
(559) 228-5309
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Brian James Baumgartner
- 2615 E Clinton Ave # 112
- Fresno, CA
- Zip : 93703-2223
- Fax : (559) 228-5309
- Phone : (559) 225-6100
Second Address
- Brian James Baumgartner
- 2615 E Clinton Ave # 112
- Fresno, CA
- Zip : 93703-2223
- Fax : (559) 228-5309
- Phone : (559) 225-6100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A74453 | CA |
National Provider Identifier
| NPI | 1033181706 |
|---|---|
| Provider Name | Brian James Baumgartner |
| First Address | Fresno, CA 93703-2223 |
| Second Address | Fresno, CA 93703-2223 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2006 |
| Last Update Date | 13/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3043370 | (05) | OH |
| 310917085226 | CARESOURCE (01) | |
| 3810017457 | (05) | WV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.