Organization
NEUROSURGICAL ASSOCIATES MEDICAL GROUP INC
Active
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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