DR. BRENT A FELDT (NPI# 1336309616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336309616 |
| Entity Type | Individual |
| Full Name | DR. BRENT A FELDT |
| Credential | MD |
| Practice Address |
1200 B Gale Wilson Blvd Fairfield CA 94533-3552 |
| Mailing Address |
101 Bodin Cir Travis Afb CA 94535-1809 |
| Practice Telephone | 7076465000 |
| Mailing Telephone | 7074237163 |
| Mailing Fax Number | 7074233826 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2016-01-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | A130651 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1336309616 | 01 |
| Street Address |
1200 B GALE WILSON BLVD |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-3552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649263526 | Ronald T Stafford | Anesthesiology | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2005-08-25 |
| 1295334753 | Manpreet Kaur | Pharmacist | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2020-10-25 |
| 1861004533 | Rokzanne Dosier | Nurse Practitioner | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2020-08-23 |
| 1457984882 | Neeta Bhasin | Pharmacist | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2020-02-13 |
| 1083246003 | Carol Ritzinger | Pharmacist | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2020-02-07 |
| 1659901239 | Elayne Faucett Maples | Nurse Practitioner | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2020-01-22 |
| 1760024384 | Gina Cristina Copak | Pharmacist | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2019-10-15 |
| 1952880437 | Hospitalist Medicine Physicians of California-tcg, PC | Internal Medicine | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2018-08-07 |
| 1487132007 | Hospitalist Medicine Physicians of California - Fairfield, PC | Internal Medicine | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2018-08-06 |
| 1548747686 | Sandra Manzato Barboza Tinoco | Dietitian, Registered | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2018-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265721013 | Alan Jay Gill | Otolaryngology | 2031 Redding Rd, Fairfield, CT 06824-1708 | 2011-04-01 |
| 1457414021 | Robert Chait Md | Otolaryngology | 2960 Mack Rd Ste 208, Fairfield, OH 45014-5300 | 2006-12-18 |
| 1821080052 | Robert H Chait | Otolaryngology | 2960 Mack Road, Suite 208, Fairfield, OH 45014-5300 | 2005-08-15 |
| 1699044461 | George P. Bauer Md | Otolaryngology | 2960 Mack Rd, Suite 107, Fairfield, OH 45014-5373 | 2011-12-22 |
| 1124319470 | Michael John Pfisterer | Otolaryngology | 2702 Low Ct, Fairfield, CA 94534 | 2011-04-20 |
| 1861614067 | Kristin Woodbury | Otolaryngology | 1710 Pennsylvania Ave, Ste D, Fairfield, CA 94533-3549 | 2007-05-03 |
| 1073531356 | Murray Alan Woolf | Otolaryngology | 1710 Pennsylvania Ave, Suite D, Fairfield, CA 94533-3589 | 2006-07-17 |
| 1487696431 | Richard A Levin | Otolaryngology | 1305 Post Rd, Suite 302, Fairfield, CT 06824-6016 | 2006-06-12 |
| 1063487825 | Martha Ellen Corcoran | Otolaryngology | 2702 Low Ct, Fairfield, CA 94534-9771 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877590 | Sleep Apnea Surgery Center Inc. | Otolaryngology | 1900 University Avenue, East Palo Alto, CA 94303 | 2020-09-24 |
| 1922613207 | Resurgent Head and Neck Surgeons, Inc. | Otolaryngology | 6848 Magnolia Ave Ste 220, Riverside, CA 92506-2858 | 2020-09-13 |
| 1427682764 | Angela A Chang Md A Professional Corporation | Otolaryngology | 9834 Genesee Ave Ste 112, La Jolla, CA 92037-1214 | 2020-02-25 |
| 1376176164 | Jaime Munroe | Otolaryngology | 5333 Hollister Ave Ste 155, Santa Barbara, CA 93111-2444 | 2020-02-19 |
| 1003389107 | James Jaber Md A Medical Corporation | Otolaryngology | 850 S Atlantic Blvd Ste 305, Monterey Park, CA 91754-6714 | 2019-01-10 |
| 1033680996 | Ent Medical and Surgical Care | Otolaryngology | 100 Casa St Ste B100, San Luis Obispo, CA 93405-1883 | 2018-12-17 |
| 1477041952 | Ira Harold Buchalter | Otolaryngology | 2029 Tempranillo Ln, Brentwood, CA 94513-5291 | 2018-04-30 |
| 1316435670 | Gregory E. Washington, M.d., A Medical Corporation | Otolaryngology | 3655 Lomita Blvd Ste 321, Torrance, CA 90505-1927 | 2018-04-23 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| 1710480140 | Jill Mazza, M.d., A Professional Corporation | Otolaryngology | 191 S Buena Vista St Ste 320, Burbank, CA 91505-4556 | 2018-03-12 |
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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.