PARDEEP BRAR M.D., INC. (NPI# 1992067631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992067631 |
| Entity Type | Organization |
| Organization Name | PARDEEP BRAR M.D., INC. |
| Practice Address |
803 Coffee Rd Suite #5 Modesto CA 95355-4227 |
| Mailing Address |
Po Box 3346 Modesto CA 95353-3346 |
| Practice Telephone | 2094849855 |
| Mailing Telephone | 2094849855 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |
| Authorized Official Name | DR. PARDEEP BRAR (OWNER) |
| Authorized Official Telephone | 2094849855 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
C54142 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE INDIVIDUAL PTAN | EP663Z | 01 |
| Street Address |
803 COFFEE RD SUITE #5 |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-4227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538153713 | Pardeep S Brar | Internal Medicine | 803 Coffee Rd, Suite 5, Modesto, CA 95355-4227 | 2005-09-02 |
| 1033661681 | Frank Fine, Md | Specialist | 803 Coffee Rd, 4, Modesto, CA 95355-4227 | 2016-10-31 |
| 1285977504 | Ana Claudia Lincalel Helmbold | Dentist | 803 Coffee Rd, Suite 8, Modesto, CA 95355-4227 | 2013-04-04 |
| 1184856601 | Lynda Reece | Speech-Language Pathologist | 803 Coffee Rd, Ste. 6, Modesto, CA 95355-4227 | 2009-08-17 |
| 1740481043 | Lorenzo Obedoza Aguilar Jr. | Specialist | 803 Coffee Rd, Suite 1, Modesto, CA 95355-4227 | 2007-05-31 |
| 1265557508 | Charles Louis Duchscher Jr. | Dentist | 803 Coffee Rd, Suite 8, Modesto, CA 95355-4227 | 2007-03-19 |
| 1790841187 | Sleepmed of California | Durable Medical Equipment & Medical Supplies | 803 Coffee Rd, Ste 10, Modesto, CA 95355-4227 | 2006-12-29 |
| 1700981016 | Frank Edward Fine | General Practice | 803 Coffee Rd, Suite 4, Modesto, CA 95355-4227 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447393863 | Richard A. Cercle M.d. | Internal Medicine | 1429 College Ave Ste B, Modesto, CA 95350-4046 | 2007-02-15 |
| 1538153713 | Pardeep S Brar | Internal Medicine | 803 Coffee Rd, Suite 5, Modesto, CA 95355-4227 | 2005-09-02 |
| 1801226873 | Muhammad A Shafqet | Internal Medicine | 1409 E Briggsmore Ave, Modesto, CA 95355 | 2013-11-12 |
| 1104105030 | Tanya Hoa Dam | Internal Medicine | 1541 Florida Ave, Suite 200, Modesto, CA 95350-4429 | 2011-08-09 |
| 1871813097 | Victorio Parayno Pidlaoan | Internal Medicine | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2010-06-10 |
| 1568646826 | Advanced Sleep Disorder Center, Inc. | Internal Medicine | 4206 Technology Dr Ste 2, Modesto, CA 95356-9484 | 2007-12-21 |
| 1407052244 | Waleed Abdul Ibrahim | Internal Medicine | 1541 Florida Ave, Suite 200, Modesto, CA 95350 | 2007-06-26 |
| 1881748846 | Modesto Gastroenterology Medical Corporation | Internal Medicine | 2336 Sylvan Ave, Suite A, Modesto, CA 95355-9211 | 2007-01-23 |
| 1528149051 | Richard A Cercle | Internal Medicine | 1429 College Ave Ste B, Modesto, CA 95350-4046 | 2006-10-18 |
| 1952311367 | Alfred Charles Gaymon | Internal Medicine | 4601 Dale Road, Modesto, CA 95356 | 2006-08-08 |
| Find all providers in MODESTO | ||||
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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.