Bron David Sullivan

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

2142 N Blythe Ave
Fresno, CA 93722-5402

Phone

(559) 276-7680

Fax

(559) 271-8927

NPI assigned

Aug 1, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Core Conditions, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1225697535
  NPD (past)
• Core Conditions, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1457149619
  NPD (past)
• Core Conditions, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1770143646
  NPD (past)
• Core Conditions, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1891354023
  NPD (past)
• DN Associates Residential Care

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1174185722
  NPD (past)

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1194407064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 W SHAW AVE # 595",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937226210",
            "telephone_number": "559-277-3494",
            "fax_number": "559-271-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 N BLYTHE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937225402",
            "telephone_number": "559-276-7680",
            "fax_number": "559-271-8927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3793 N Polk Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937229763",
            "country_code": "US",
            "telephone_number": "559-271-1206",
            "fax_number": "559-271-8927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3765 W Dakota Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937224784",
            "country_code": "US",
            "telephone_number": "559-271-8421",
            "fax_number": "559-271-8927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 S Brawley Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937062103",
            "country_code": "US",
            "telephone_number": "559-443-2166",
            "fax_number": "559-271-8927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7171 W Rialto Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937239407",
            "country_code": "US",
            "telephone_number": "559-271-8421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "BRON",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-01",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sukhjit Brar MD Inc
• Yera Suleiman
• Doris Fe Sulit
• Sullivan Center for Children a Psychological Corporation
• Sullivan Chiropractic Center Inc
• Dominique Sullivan
• Joanna Leah Sullivan, PSY.D.
• Nancy Sullivan
• Sandra Sullivan, FNP
• Savath Sullivan, R.N.

• Rehabilitation Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.