NPIMap

Organization Active NPI

Walter D Bramson MD a Professional Corporation

  • Clinic/Center
  • Crestline, CA
National Provider Identifier
1700216488
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
G40647 Issued in CA
Legal business name
WALTER D BRAMSON MD A PROFESSIONAL CORPORATION
Practice address
580 Forest Shade Rd Unit 1
Crestline, CA 92325-3816
Phone
(909) 338-1851
Fax
(909) 338-6381
NPI assigned
Nov 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Walter David Bramson, MDNPI 1033167119
Title
President
Phone
(909) 338-1851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X G40647 CA Primary

Addresses

Primary practice location

580 Forest Shade Rd Unit 1
Crestline, CA 92325-3816

Mailing address

PO Box 3816
580 Forest Shade Rd Unit 1
Crestline, CA 92325-3816
Phone (909) 338-1851

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1700216488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3816",
            "address_2": "580 FOREST SHADE RD UNIT 1",
            "city": "CRESTLINE",
            "state": "CA",
            "postal_code": "923253816",
            "telephone_number": "909-338-1851",
            "fax_number": "909-338-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 FOREST SHADE RD UNIT 1",
            "city": "CRESTLINE",
            "state": "CA",
            "postal_code": "923253816",
            "telephone_number": "909-338-1851",
            "fax_number": "909-338-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER D BRAMSON MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "BRAMSON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-338-1851",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G40647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestline, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.