Brett Bowman
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Daly City, CA
NPI 1629964655 · NPPES record last updated Jun 16, 2025
Key facts
- NPI
- 1629964655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 350 90TH St FL 3
Daly City, CA 94015-1879 - Phone
- (650) 877-5700
- NPI assigned
- Jun 16, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
350 90TH St FL 3
Daly City, CA 94015-1879
Mailing address
350 90TH St FL 3
Daly City, CA 94015-1879
Phone (650) 877-5700
Other providers in Daly City, CA
- Randy Patio Bonotano
- David Booth
- Kathryn Booth
- Joshua Emmanuel Borela
- May H Bosco
- Jessica Nicole Bowmer
- Lauri Ann Bowser
- Thomas Tiffan Bowstead
- Savina Braccini-Lopez
- Camille N Branch
All providers in Daly City, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.