Brian Richard Badduke, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

A48391 Issued in CA

Practice address

39141 Civic Center Dr
Suite 335
Fremont, CA 94538-5818

Phone

(510) 248-1411

NPI assigned

Jan 8, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1215174560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39141 CIVIC CENTER DR",
            "address_2": "SUITE 335",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945385818",
            "telephone_number": "510-248-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39141 CIVIC CENTER DR",
            "address_2": "SUITE 335",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945385818",
            "telephone_number": "510-248-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADDUKE",
        "first_name": "BRIAN",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-08",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A48391",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A48391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinh Bach
• Pius N Bachan Jr., RPH
• Michele Bachmeier
• Daniel Datu Baculi
• Rupal Badani, M.D.
• Marion S Bade, PT
• Amy N Badger-Asaravala, M.D.
• Kashmira Badiyani
• Neha Rajkotia Badiyani, PT
• Husain Badri

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.