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NPI 1669488391 · live from the CMS NPI Registry

Jeffrey Bullard-Berent, MD

Emergency Medicine in San Francisco, CA. National Provider Identifier 1669488391, active.

NPI record

NPI1669488391 Type 1 · individual
StatusActive
Primary specialtyEmergency Medicine 207P00000X
Practice location505 Parnassus Ave, Box 208, San Francisco, CA 94143
Practice phone415-353-1818
Mailing address800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106
EnumeratedAugust 1, 2006
Last updatedJanuary 22, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Emergency Medicine, Pediatric Emergency Medicine207PP0204X48555 (WA)
Emergency Medicine primary207P00000X2002-0276 (NM)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.