BRENT WILLARD (NPI# 1336551084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336551084 |
| Entity Type | Individual |
| Full Name | BRENT WILLARD |
| Credential | M.D. |
| Practice Address |
303 E. Vanderbilt Way San Bernardino CA 92415-0026 |
| Mailing Address |
25571 Lane St Loma Linda CA 92354-2412 |
| Practice Telephone | 9093877200 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2018-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A142234 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11234 Anderson St, Loma Linda, CA 923542804 | 9095584000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104033133 | Brent Alan Willard | Physical Therapy Assistant | 901 Bethesda Rd, Winston Salem, NC 27103-3015 | 2007-05-17 |
| Street Address |
303 E. VANDERBILT WAY |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92415-0026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386088110 | Melissa Kimberly Urquhart | Psychiatry & Neurology | 303 E. Vanderbilt Way, Suite 400, San Bernardino, CA 92415 | 2013-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578041042 | Karina Judith Barragan | Student in an Organized Health Care Education/Training Program | 19500 South Sunwest Lane, San Bernardino, CA 92415 | 2018-08-06 |
| 1841714839 | Layla Subhani | Marriage & Family Therapist | 780 E Gilbert Street, Bldg H, San Bernardino, CA 92415 | 2017-08-01 |
| 1023546637 | Angelica Ruiz | Marriage & Family Therapist | 900 E. Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2017-05-25 |
| 1750825030 | Jordyn Ackerman | Marriage & Family Therapist | 900 E Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2016-12-06 |
| 1083063663 | San Bernardino County Department of Public Health | Public Health or Welfare | 1505 South D Street, San Bernardino, CA 92415 | 2016-06-06 |
| 1366821233 | Jodi Cerney | Counselor | 1950 S. Sunwest Lane, Suite #200, San Bernardino, CA 92415 | 2015-05-26 |
| 1427442268 | Yessenia Cruz | Case Manager/Care Coordinator | 780 E Gilbert St Bldg H, San Bernardino, CA 92415 | 2015-03-18 |
| 1861808859 | Hector Armando Ortega | Student in an Organized Health Care Education/Training Program | 1950 S. Sunwest Ln., Rialto, CA 92415 | 2014-07-10 |
| 1437564762 | Ashlee Barker | Marriage & Family Therapist | 900 E Gilbert St. Cottage 4, San Bernardino, CA 92415 | 2014-06-25 |
| 1669802708 | County of San Bernardino | In Home Supportive Care | 784 E Hospitality Ln, San Bernardino, CA 92415 | 2013-11-26 |
| Find all providers in zip 92415 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700230844 | Ayodeji Gregorio Okusanya | Psychiatry & Neurology | 325 Hospitality Lane, San Bernardino, CA 92408 | 2016-04-14 |
| 1386088110 | Melissa Kimberly Urquhart | Psychiatry & Neurology | 303 E. Vanderbilt Way, Suite 400, San Bernardino, CA 92415 | 2013-04-23 |
| 1871735464 | Edwin Romel Soriano De Leon | Psychiatry & Neurology | 208 W Highland Ave, San Bernardino, CA 92405-4018 | 2009-03-30 |
| 1457474033 | Tagbo Ekene Arene | Psychiatry & Neurology | 303 E Vanderbilt Way County of San Bernardino Dbh, San Bernardino, CA 92415-2804 | 2007-04-09 |
| 1588701064 | Rajesh Patel | Psychiatry & Neurology | 268 W Hospitality Ln, Ste. 400, San Bernardino, CA 92415-0001 | 2007-01-31 |
| 1770664286 | Janet Ruth Medenwald Hogg | Psychiatry & Neurology | Step Up On Second; 600 N. Arrowhead Ave, Suite 200, San Bernardino, CA 92401-1152 | 2006-10-18 |
| 1841291408 | Tapeesh Kansal | Psychiatry & Neurology | 2080 S E St, San Bernardino, CA 92408-2773 | 2005-08-04 |
| 1154770808 | Ngoc-minh Pham | Psychiatry & Neurology | 303 E Vanderbilt Way, San Bernardino, CA 92415-1801 | 2016-06-03 |
| 1598147423 | Patricia Ann Samaniego Calimlim | Psychiatry & Neurology | 303 E Vanderbilt Way, San Bernardino, CA 92415-1722 | 2015-06-27 |
| 1598159741 | David Ly | Psychiatry & Neurology | 303 E Vanderbilt Way, San Bernardino, CA 92415-1801 | 2015-03-26 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92415 |
Please comment or provide details below to improve the information on BRENT WILLARD.
| 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.