Organization Active NPI

Brawley Occupational Medicine

  • Internal Medicine Physician
  • Brawley, CA
National Provider Identifier
1104116805
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A69031 Issued in CA
Legal business name
BRAWLEY OCCUPATIONAL MEDICINE
Practice address
529 E St
Brawley, CA 92227-1930
Phone
(760) 344-9000
Fax
(760) 344-9191
NPI assigned
Apr 14, 2011
Last updated
Apr 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas Bruff, M.D.
Title
President
Phone
(760) 344-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A69031 CA Primary

Addresses

Primary practice location

529 E St
Brawley, CA 92227-1930

Mailing address

529 E St
Brawley, CA 92227-1930
Phone (760) 344-9000

Other identifiers 1

IdentifierTypeStateIssuer
A59031OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1104116805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 E ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922271930",
            "telephone_number": "760-344-9000",
            "fax_number": "760-344-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 E ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922271930",
            "telephone_number": "760-344-9000",
            "fax_number": "760-344-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAWLEY OCCUPATIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "BRUFF",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-344-9000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A69031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A59031",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brawley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.