DR. BRENDON G TILLMAN (NPI# 1760619688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760619688 |
| Entity Type | Individual |
| Full Name | DR. BRENDON G TILLMAN |
| Credential | M.D. |
| Practice Address |
200 Mercy Circle, Nhcp Attn: Radiology Department Oceanside CA 92055 |
| Mailing Address |
Po Box 555191 Oceanside CA 92055-5191 |
| Practice Telephone | 7607193476 |
| Mailing Telephone | 7607193476 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2018-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35.095671 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
200 MERCY CIRCLE, NHCP ATTN: RADIOLOGY DEPARTMENT |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730755 | Zaccary Griffin | Military Health Care Provider | Building 4101 Stuart Mesa Rd, Camp Pendleton, CA 92055 | 2020-11-02 |
| 1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1548869571 | Joshua Watersjackson | Specialist/Technologist | 430406 Las Pulgas, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1235737164 | Tynesha Felice Calimquim | Dental Hygienist | Naval Hospital Camp Pendleton, Dental Department, 200 Mercy Circle, Oceanside, CA 92055 | 2020-10-13 |
| 1801494182 | Luis Alberto Necoechea | Military Health Care Provider | 1st Recon Bn Bas, Oceanside, CA 92055 | 2020-10-09 |
| 1689271603 | Lorena Santodomingo | Dental Hygienist | Bldg 210735 C Street, Camp Pendleton, CA 92055 | 2020-10-02 |
| 1720695984 | Douglas Thomas Duncan | Dental Assistant | 92055- 14th Strret, Oceanside, CA 92055 | 2020-09-30 |
| 1528675980 | Dora Louise Young | Dental Assistant | 92055 14th Street, Camp Pendleton, CA 92055 | 2020-09-29 |
| 1306453956 | Lynne Marie Reardon | Dental Hygienist | Bldg 310515, Camp Pendleton, CA 92055 | 2020-09-28 |
| Find all providers in zip 92055 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376976688 | Arthur John Day | Radiology | 4710 Denia Way, Oceanside, CA 92056-5145 | 2013-08-10 |
| 1437131992 | Harry Leo Stein | Radiology | 185 Merrick Road, Radiological Associates of Long Island PC, Oceanside, NY 11572 | 2005-11-18 |
| 1235131764 | Lucille Patricia Taverna | Radiology | 185 Merrick Rd, Radiological Associates of Long Island PC, Oceanside, NY 11572-1431 | 2005-08-15 |
| 1477177400 | Icahn School of Medicine At Mount Sinai | Radiology | 185 Merrick Rd, Oceanside, NY 11572-1431 | 2020-06-05 |
| 1487917621 | Cyrus Shabrang | Radiology | 4002 Vista Way, Oceanside, CA 92056 | 2012-06-22 |
| 1437443413 | Michael Noud | Radiology | 3156 Vista Way, Suite 100, Oceanside, CA 92056-3622 | 2011-06-07 |
| 1275837882 | Sn Radiological Practice PC | Radiology | 1 Healthy Way, Oceanside, NY 11572-1551 | 2010-12-23 |
| 1871759670 | Vinh Q Phan | Radiology | 1 Healthy Way, Oceanside, NY 11572-1551 | 2008-07-31 |
| 1245491208 | Kiran Roshan Patel | Radiology | 3156 Vista Way, Suite 100, Oceanside, CA 92056-3622 | 2008-06-23 |
| 1578789194 | Nathan Bryan Copelan | Radiology | 3156 Vista Way, Suite 100, Oceanside, CA 92056-3622 | 2007-04-18 |
| Find all providers in OCEANSIDE | ||||
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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.