Jeffrey Bullard-Berent
Emergency Physician Pediatric Emergency Physician
505 Parnassus Ave Box 208
San Francisco
, California 94143-0208
Jeffrey Bullard-Berent
Emergency Physician Pediatric Emergency Physician
505 Parnassus Ave Box 208
San Francisco
, California 94143-0208
(415) 353-1818
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About
Features
Specialties
- Emergency Physician
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Jeffrey Bullard-Berent
- 505 Parnassus Ave Box 208
- San Francisco, CA
- Zip : 94143-0208
- Phone : (415) 353-1818
Second Address
- Jeffrey Bullard-Berent
- 505 Parnassus Ave Box 208
- San Francisco, CA
- Zip : 94143-0208
- Phone : (415) 353-1818
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 2002-0276 | NM |
| N | 207PP0204X | Pediatric Emergency Physician | 48555 | WA |
National Provider Identifier
| NPI | 1669488391 |
|---|---|
| Provider Name | Jeffrey Bullard-Berent |
| First Address | San Francisco, CA 94143-0208 |
| Second Address | San Francisco, CA 94143-0208 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2006 |
| Last Update Date | 05/08/2013 |
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.