Active NPI
Brian Thomas Verburg
- Electroneurodiagnostic Specialist/Technologist
- Dana Point, CA
National Provider Identifier
1679869754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- BUS02/02209
- Practice address
- 32701 Seven Seas Dr
Dana Point, CA 92629-3527 - Phone
- (949) 422-2832
- Fax
- (866) 223-4802
- NPI assigned
- Jun 27, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | BUS02/02209 | CA | Primary |
Addresses
Primary practice location
32701 Seven Seas Dr
Dana Point, CA 92629-3527
Mailing address
32701 Seven Seas Dr
Dana Point, CA 92629-3527
Phone (949) 422-2832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BUS02/02209 | CA | MD | Electroneurodiagnostic Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1679869754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32701 SEVEN SEAS DR",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926293527",
"telephone_number": "949-422-2832",
"fax_number": "866-223-4802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32701 SEVEN SEAS DR",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926293527",
"telephone_number": "949-422-2832",
"fax_number": "866-223-4802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERBURG",
"first_name": "BRIAN",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-27",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "CA",
"license": "BUS02/02209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dana Point, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.