Gamdur S Brar, MD

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

C51065 Issued in CA

Practice address

2339 W Cleveland Ave Ste 101
Madera, CA 93637-8765

Phone

(155) 967-5940

Fax

(559) 675-9404

NPI assigned

Dec 28, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBIHBA/Endpoint/IBIHBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saint Agnes Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205845567
  NPD (past)
• North Shore University Hospital

  dba Nsuh Psychiatric Exempt Unit

  • Psychiatric Hospital Unit
  • Syosset, NY
  • NPI 1295742468
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1154308484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 W CLEVELAND AVE STE 101",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936378765",
            "telephone_number": "559-675-9400",
            "fax_number": "559-675-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 W CLEVELAND AVE STE 101",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936378765",
            "telephone_number": "155-967-5940",
            "fax_number": "559-675-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAR",
        "first_name": "GAMDUR",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-03-07",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CA",
            "license": "C51065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "C51065",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Braden Partners LP (Pacific Pulmonary Services)
• Lauren Lewis Bradley, NP
• Amy Brainerd
• James Brannon, LEP, PPS, MA
• Sarah Brannon, RPH
• Harpal Kaur Brar, MD
• Angelina Bravo, FNP-C
• Chanai Breazell
• Corryn Brechmann, BA
• Sarah Richelle Brickey, M.D.

• Neonatal-Perinatal Medicine Physician in Madera, CA
• Providers in Madera, CA by specialty
• Neonatal-Perinatal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.