Organization
NEUROSURGICAL ASSOCIATES MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM JASON BRANT MD (PRESIDENT)
(559) 449-1100
Entity
Organization
Contact information
Practice address
7130 N SHARON AVE, #100, FRESNO, CA 93720-3386
(559) 449-1100
(559) 449-1174
Mailing address
7130 N SHARON AVE, #100, FRESNO, CA 93720-3386
(559) 449-1100
(559) 449-1174
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195946200
USDL
CA
01
—
5367510001
MEDICARE DMEPOS
CA
01
—
CS6929
RAILROAD MEDICARE
CA
05
—
GR008950
—
CA
Enumeration date
08/31/2006
Last updated
12/09/2009
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