BRYAN JAMES EBERLE (NPI# 1356638332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356638332 |
| Entity Type | Individual |
| Full Name | BRYAN JAMES EBERLE |
| Credential | P.A. |
| Practice Address |
6580 Hembree Ln Ste 270 Windsor CA 95492-6885 |
| Practice Telephone | 7078382044 |
| Practice Fax Number | 7078382150 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2018-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 53684 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1221 N Dutton Ave, Santa Rosa, CA 954014607 | 7075438360 | |
| 5005 N Piedras St, El Paso, TX 799205001 | 9157422121 | |
| 6174 State Farm Dr, Rohnert Park, CA 949282135 | 7075864320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073877338 | Bryan Anthony Eberle | Internal Medicine | 1708 Yakima Ave Ste 120, Tacoma, WA 98405-5300 | 2012-07-01 |
| Street Address |
6580 HEMBREE LN STE 270 |
| City | WINDSOR |
| State | CA |
| Zip Code | 95492-6885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538173141 | Elizabeth Flower | Family Medicine | 6580 Hembree Ln Ste 270, Windsor, CA 95492 | 2006-07-28 |
| 1700293131 | Kristen Shay Rasnick | Nurse Practitioner | 6580 Hembree Ln Ste 270, Windsor, CA 95492-6885 | 2014-07-17 |
| 1043649163 | Erin Elizabeth Lopez | Physician Assistant | 6580 Hembree Ln Ste 270, Windsor, CA 95492-6885 | 2013-11-08 |
| 1275869497 | Tysen N Norton | Physician Assistant | 6580 Hembree Ln Ste 270, Windsor, CA 95492-6885 | 2009-10-22 |
| 1518039536 | Katharina Abernethy | Physical Therapy Assistant | 6580 Hembree Ln Ste 270, Windsor, CA 95492-6885 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235368572 | Kelly Vanzutphen | Clinical Neuropsychologist | 9940 Starr Rd., Ste 140, Windsor, CA 95492 | 2009-07-08 |
| 1932315934 | Charles Henry Aikawa | Dentist | 8741 Brooks Road South Ste 201, Windsor, CA 95492 | 2007-05-15 |
| 1417025701 | Barbara W Franzen | Family Medicine | 404 Gordon Ct, Windsor, CA 95492 | 2006-12-02 |
| 1780768382 | Joyce Yu Chang | Dentist | 8886 Lakewood Dr, Windsor, CA 95492 | 2006-10-24 |
| 1477564946 | Jamila M Benn | Family Medicine | 8465 Old Redwood Hwy Ste 320, Windsor, CA 95492 | 2006-08-10 |
| 1093785826 | Windsor Primary Care Medical Group Inc | Family Medicine | 8465 Old Redwood Hwy, #320, Windsor, CA 95492 | 2006-01-24 |
| 1093288995 | Elizabeth Vasquez Quiroz | Counselor | 3555 Sonoma Hwy, Santa Rosa, CA 95492 | 2019-01-03 |
| 1336488071 | Jennifer L Price | Chiropractor | 8499 Old Redwood Hwy, Suite 204, Windsor, CA 95492 | 2013-01-31 |
| 1104163815 | Rael Bernstein Dds Apc | Dentist | 8741 Brooks Rd S, Windsor, CA 95492 | 2013-01-15 |
| 1730263716 | Stephen M. Rich | Internal Medicine | 8465 Old Redwood Hwy Ste 320, Windsor, CA 95492 | 2006-10-25 |
| Find all providers in zip 95492 | ||||
| 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 |
|---|---|---|---|---|
| 1689274417 | Danielle Kerr | Physician Assistant | 1055 Kennedy Rd, Windsor, CT 06095-1308 | 2020-10-30 |
| 1619527371 | Parker Don Timothy | Physician Assistant | 1194 Vintage Greens Dr, Windsor, CA 95492-6864 | 2019-09-16 |
| 1164745949 | Sara Christensen | Physician Assistant | 6580 Hembree Ln, Suite 270, Windsor, CA 95492-6884 | 2010-03-08 |
| 1255661096 | Duy Duy Thuc Tran | Physician Assistant | 1455 Main St Ste 150, Windsor, CO 80550 | 2009-12-29 |
| 1528294857 | Sheeba Pennickara | Physician Assistant | 4285 Patrick Ave., Windsor, ONTARIO N9G 2X8 | 2009-06-01 |
| 1164046173 | Leah Beth Siegel | Physician Assistant | 141 Etta Frasier Dr, Windsor, VT 05089-1315 | 2020-06-04 |
| 1972920619 | Mackenzie Ryan Monahan | Physician Assistant | 289 County Rd, Windsor, VT 05089-9000 | 2014-03-19 |
| 1043649163 | Erin Elizabeth Lopez | Physician Assistant | 6580 Hembree Ln Ste 270, Windsor, CA 95492-6885 | 2013-11-08 |
| 1235406539 | Benjamin R Kempfer | Physician Assistant | 4131 Meridian Dr, Windsor, WI 53598-9699 | 2011-11-30 |
| 1477850311 | Michele Renee Cain | Physician Assistant | 1683 Main St, Windsor, CO 80550-7921 | 2011-02-11 |
| Find all providers in WINDSOR | ||||
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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.