Individual provider Active NPI

Robert Brandt Fick, Jr, M.D.

  • Pulmonary Disease Physician
  • Palo Alto, CA
National Provider Identifier
1811057086
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G75955 Issued in CA
Practice address
Palo Alto VA Health Care System
3801 Miranda Avenue, Pulmonary & CCM
Palo Alto, CA 94344
Phone
(650) 493-5000
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X G75955 CA Primary

Addresses

Primary practice location

Palo Alto VA Health Care System
3801 Miranda Avenue, Pulmonary & CCM
Palo Alto, CA 94344

Mailing address

240 Mimosa Way
Portola Valley, CA 94028
Phone (650) 233-0647

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G75955CAMDPulmonary Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811057086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MIMOSA WAY",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "94028",
            "telephone_number": "650-233-0647",
            "fax_number": "650-496-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PALO ALTO VA HEALTH CARE SYSTEM",
            "address_2": "3801 MIRANDA AVENUE, PULMONARY & CCM",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94344",
            "telephone_number": "650-493-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICK, JR",
        "first_name": "ROBERT",
        "middle_name": "BRANDT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G75955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.