Active NPI
Robert Brandt Fick, Jr, M.D.
- Pulmonary Disease Physician
- Palo Alto, CA
National Provider Identifier
1811057086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- G75955
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G75955 | CA | MD | Pulmonary 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.