Brendan Bu

Primary specialty

PharmacistTaxonomy code 183500000X

License

46562 Issued in CA

Practice address

1393 Rawlings LN
Lincoln, CA 95648-3220

Phone

(916) 316-6847

NPI assigned

Aug 17, 2020

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Providence Health & Services - Oregon

  • Internal Medicine Physician
  • Sherwood, OR
  • NPI 1184729329
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2020.

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1811509367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 RAWLINGS LN",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956483220",
            "telephone_number": "916-316-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 RAWLINGS LN",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956483220",
            "telephone_number": "916-316-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BU",
        "first_name": "BRENDAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "46562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Gwenn Brandt
• Brian P. Keller DPM, Inc
• Shelly Ann Brown
• Jeffrey O Brownwood, DO
• Jeff Bruins
• Ca Gonzalez Dental Corp
• Brandon David Cain
• California Midwives for Women
• Care Home by RNS Transport Services LLC
• Erick Fabricio Carias

• All providers in Lincoln, CA
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.