MR. MARSHALL RAY DEBRULER (NPI# 1033441795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033441795 |
| Entity Type | Individual |
| Full Name | MR. MARSHALL RAY DEBRULER |
| Credential | P.A.-C |
| Practice Address |
207 W. Legion Rd Brawley CA 92227 |
| Mailing Address |
Po Box 900932 San Diego CA 92190-0932 |
| Practice Telephone | 7604453050 |
| Mailing Telephone | 7604453050 |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA20815 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
207 W. LEGION RD |
| City | BRAWLEY |
| State | CA |
| Zip Code | 92227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548755283 | Imperial Valleyrespite, Inc. | Behavioral Analyst | 630 S. Imperial Ave., Ste. 2, Brawley, CA 92227 | 2018-06-26 |
| 1013424704 | Denise Vizcarra | Behavior Technician | 630 S Brawley Ave Ste 2, Brawley, CA 92227 | 2018-01-04 |
| 1831465178 | Marylou Cayetano Thelmo | Obstetrics & Gynecology | 1166 K Street, Brawley, CA 92227 | 2012-03-30 |
| 1396046983 | Dominga Marquez De Vera | Pharmacist | 475 West Main Street, Vons Pharmacy, Brawley, CA 92227 | 2010-11-12 |
| 1073758280 | Brawley Physical Therapy | Clinic/Center | 529 E Street, Brawley, CA 92227 | 2008-12-03 |
| 1609058924 | Leticia Bustamante | Nurse Practitioner | 751 West Legion Road, Suite 102, Brawley, CA 92227 | 2007-11-28 |
| 1073701504 | Imperial County Behavioral Health Services | Clinic/Center | 385 D St Rm 30, Brawley, CA 92227 | 2007-10-10 |
| 1013118801 | Joseph Kurt Bivens | Plastic Surgery | 751 W Legion Rd Ste 300, Brawley, CA 92227 | 2007-05-30 |
| 1083771489 | Yong Tan | Family Medicine | 751 West Legion Road, Suite 102, Brawley, CA 92227 | 2007-01-03 |
| 1174619738 | Donald M Ehman | Specialist | 197 W Legion Rd # 300, Brawley, CA 92227 | 2006-10-04 |
| Find all providers in zip 92227 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083272025 | Laurel Crismon Popplewell | Physician Assistant | 207 W Legion Rd, Brawley, CA 92227-7780 | 2019-06-04 |
| 1457870727 | Matthew Petro | Physician Assistant | 207 W Legion Rd, Brawley, CA 92227-7780 | 2017-09-18 |
| 1356863997 | Trang Vo | Physician Assistant | 207 W Legion Rd, Brawley, CA 92227-7780 | 2017-07-14 |
| 1285087577 | Mark Simpson | Physician Assistant | 207 W Legion Rd, Brawley, CA 92227-7780 | 2016-07-21 |
| 1902240179 | Daniel Peter Mccarthy | Physician Assistant | 207 W Legion Rd, Brawley, CA 92227-7780 | 2013-04-18 |
| 1205172491 | Christopher Leslie Thompson | Physician Assistant | 207 W Legion Rd, Brawley, CA 92227-7780 | 2012-12-17 |
| 1134420631 | Salma Foroozan | Physician Assistant | 900 Main St, Brawley, CA 92227-2630 | 2010-11-15 |
| 1699947192 | Brent Timothy Kunzler | Physician Assistant | 207 W Legion Rd, Brawley, CA 92227-7780 | 2008-03-25 |
| 1659541027 | Brooke Caroline Leedy | Physician Assistant | 751 W Legion Rd, Brawley, CA 92227-7732 | 2008-03-02 |
| 1851593370 | Kevin Larkin | Physician Assistant | 207 W Legion Rd, Brawley, CA 92227-7780 | 2007-06-05 |
| Find all providers in BRAWLEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.