Brian K. Fenmore, MD Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A43642 Issued in CA

Legal business name

BRIAN K. FENMORE, MD INC

Practice address

18344 Clark Street
Suite 202
Tarzana, CA 91356-3578

Phone

(818) 708-8011

Fax

(818) 708-8826

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Brian K Fenmore, MDNPI 1194834879

Title

Presidnet

Phone

(818) 708-8011

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Keith Fenmore, MD

  • Obstetrics & Gynecology Physician
  • Tarzana, CA
  • NPI 1194834879
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342224000000",
    "number": "1376819763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18344 CLARK STREET",
            "address_2": "SUITE 202",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563578",
            "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": "18344 CLARK STREET",
            "address_2": "SUITE 202",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563578",
            "telephone_number": "818-708-8011",
            "fax_number": "818-708-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN K. FENMORE, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-07-14",
        "status": "A",
        "authorized_official_last_name": "FENMORE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDNET",
        "authorized_official_telephone_number": "818-708-8011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A43642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodie Brato, RD
• Holland Breed
• Brian Scott Brewington, LCSW
• Brian K Fenmore MD
• Brian K Greenberg, M.D. Inc
• Alan S Bricklin, M.D.
• Bright Path ABA
• Brightvale Home Health LLC
• Shawn Lare Brinkley, LMFT
• Brite Spot Inc. (Brite Spot Medical Supply)

• 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 Jul 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.