MR. BRIAN THOMAS VERBURG


Address: 32701 Seven Seas Dr, Dana Point, CA 92629-3527
Phone: 9494222832

MR. BRIAN THOMAS VERBURG (NPI# 1679869754) 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) 1679869754
Entity Type Individual
Full Name MR. BRIAN THOMAS VERBURG
Practice Address 32701 Seven Seas Dr
Dana Point
CA 92629-3527
Practice Telephone 9494222832
Practice Fax Number 8662234802
Mailing Telephone 9494222832
Mailing Fax Number 8662234802
Enumeration Date 2011-06-27
Last Update Date 2011-06-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZE0600X Specialist/Technologist, Other
Specialization: Electroneurodiagnostic
BUS02/02209 CA Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 32701 SEVEN SEAS DR
City DANA POINT
State CA
Zip Code 92629-3527

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Taxonomy Information

Taxonomy Code 246ZE0600X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Electroneurodiagnostic

Taxonomy Definition

Definition to come...

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Competitor

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City DANA POINT
Zip Code 92629

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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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