Brian K Fenmore MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A43642 Issued in CA

Legal business name

BRIAN K FENMORE MD

Practice address

18411 Clark St
108
Tarzana, CA 91356-3506

Phone

(818) 708-8011

Fax

(818) 708-8826

NPI assigned

Mar 11, 2008

Last updated

Mar 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian K Fenmore, M.D.NPI 1194834879

Title

President

Phone

(818) 708-8011

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Keith Fenmore, MD

  • Obstetrics & Gynecology Physician
  • Tarzana, CA
  • NPI 1194834879
  Authorized official Same address or phone

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1215107792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18411 CLARK ST",
            "address_2": "108",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563506",
            "telephone_number": "818-708-8011",
            "fax_number": "818-708-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18411 CLARK ST",
            "address_2": "108",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563506",
            "telephone_number": "818-708-8011",
            "fax_number": "818-708-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN K FENMORE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "FENMORE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-708-8011",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A43642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "B50510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brand Tarzana Surgical Institute Inc
• Shabnum Puri Brar, M.P.T.
• Jodie Brato, RD
• Holland Breed
• Brian Scott Brewington, LCSW
• Brian K Greenberg, M.D. Inc
• Brian K. Fenmore, MD Inc
• Alan S Bricklin, M.D.
• Bright Path ABA
• Brightvale Home Health LLC

• Obstetrics & Gynecology Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.