Organization Active NPI

Gina Brar MD Inc

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1689821183
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A53763 Issued in CA
Legal business name
GINA BRAR MD INC
Practice address
7075 N Maple Ave Ste 101
Fresno, CA 93720-8014
Phone
(559) 323-0940
NPI assigned
Aug 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Gina Brar, MD
Title
President
Phone
(559) 323-0940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A53763 CA Primary

Addresses

Primary practice location

7075 N Maple Ave Ste 101
Fresno, CA 93720-8014

Mailing address

7075 N Maple Ave Ste 101
Fresno, CA 93720-8014

Other identifiers 3

IdentifierTypeStateIssuer
05D961197OtherCACLIA
00A537630OtherCAMEDICARE ID
00A537630MedicaidCA

National Provider Directory

National Provider Directory

Locations

7075 N Maple Ave
Ste 101
Fresno, CA 93720
Phone (559) 323-0940

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1689821183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 N MAPLE AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 N MAPLE AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208014",
            "telephone_number": "559-323-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA BRAR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BRAR",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-323-0940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D961197",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "00A537630",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A537630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.