DR. BRIAN WADE LEGENDRE


Address: 3235 Albacore Alley, San Diego, CA 92136
Phone: 6195567070

DR. BRIAN WADE LEGENDRE (NPI# 1487723318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487723318
Entity Type Individual
Full Name DR. BRIAN WADE LEGENDRE
Credential M.D., M.P.H.
Practice Address 3235 Albacore Alley
San Diego
CA 92136
Practice Telephone 6195567070
Mailing Telephone 6195567070
Enumeration Date 2006-11-07
Last Update Date 2020-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice A92256 CA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1st Lar Battalion - Bas - Medical Officer, Box 555564, Camp Pendleton, CA 92055 7607252873

Office Location

Street Address 3235 ALBACORE ALLEY
City SAN DIEGO
State CA
Zip Code 92136

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659341089 Kenichi Carrigan Preventive Medicine 3235 Albacore Alley, San Diego, CA 92136 2006-01-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467930164 Alexa Clifton Student in an Organized Health Care Education/Training Program 2525 Callagan Hwy, Fpo, AA 92136 2018-08-03
1235501321 Family Optometric Associates of California, Inc. Optometrist 2260 Callahan Hwy, Bldg 3187-a, San Diego, CA 92136 2015-10-28
1457720427 Andres Bargados Santamaria IIi Military Health Care Provider 116 Cummings Rd, San Diego, CA 92136 2015-09-21
1932470374 Robert Bishop Beedles Jr. Military Health Care Provider 3380 Sturtevant St, Bldg 57 Second Floor, San Diego, CA 92136 2012-01-17
1083771877 Brianna Leigh Rupp General Practice Uss Tarawa Lha 1 Fpo Ap 96622-1600, San Diego, CA 92136 2007-01-02
1396814836 Alberia Joseph Davis Military Health Care Provider Pcd Sampson (ddg-102), 3975 Norman Scott Rd, San Diego, CA 92136 2006-11-07
1831275866 Roslyn Jones Jackson Nurse Practitioner 2450 Craven Streeet, San Diego, CA 92136 2006-10-31
1699743534 Mark L Williamson Military Health Care Provider 3325 Senn Road, Comdesron One Building 55 Second Floor, San Diego, CA 92136 2006-03-08
1467423335 John M. Hintz Psychologist Branch Medical Clinic, Naval Station, San Diego, CA 92136 2006-01-30
1174593784 Optometry-vision With Styles, Inc Optometrist 2260 Callagan Hwy, Building 3187b Ste 1, San Diego, CA 92136 2006-01-25
Find all providers in zip 92136

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316553530 Kimberly Ann Callaway General Practice 4893 Drakewood Ter, San Diego, CA 92130-1406 2020-09-22
1629626981 Rejuvenate Medical Group Inc General Practice 5030 Camino De La Siesta Ste 404, San Diego, CA 92108-3120 2019-08-29
1114484573 Revive Medical of San Diego General Practice 7220 Trade St Ste 209, San Diego, CA 92121-2326 2019-02-21
1144790643 Elaine Esguerra General Practice 751 Kentmere Ter, San Diego, CA 92154-8415 2018-11-28
1609350909 Cristina Lavenant Gordon General Practice 10912 Derrydown Way, San Diego, CA 92130-2897 2018-09-21
1144723289 Andrew T Bagby General Practice 601 Mc Cain Blvd, San Diego, CA 92135 2018-03-15
1568828671 Ceferina Pulgar Ruiz General Practice 6809 Freed Manor Lane, San Diego, CA 92114 2016-01-05
1578941597 Zenus Joe Wilson General Practice 2446 Trident Way Bldg 637, San Diego, CA 92155-5494 2015-05-11
1457761090 David Lilienfeld General Practice 13412 Pantera Rd, San Diego, CA 92130-1022 2014-05-05
1972920882 Genevieve Dowling General Practice 5575 Ruffin Rd # 100us, San Diego, CA 92123-1380 2014-03-28
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Competitor

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City SAN DIEGO
Zip Code 92136

Improve Information

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Dataset Information

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.

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