Nyd LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A24108 Issued in CA

Legal business name

NYD LTD

Doing business as

Brundage Medical

Practice address

904 E Brundage LN
Bakersfield, CA 93307-3467

Phone

(661) 327-4279

Fax

(661) 325-4216

NPI assigned

Aug 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Curtis Fox, M.D.

Title

Owner

Phone

(661) 327-4279

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BRUNDAGE MEDICAL Doing business as

Locations

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1942293550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 E BRUNDAGE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933073467",
            "telephone_number": "661-327-4279",
            "fax_number": "661-325-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 E BRUNDAGE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933073467",
            "telephone_number": "661-327-4279",
            "fax_number": "661-325-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-327-4279",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A24108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0018760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRUNDAGE MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenechukwu Chidozie Nweke, MD
• Margaret Ngozi Nweze
• Alfred Nyagwachi Sr., PHARM.D
• Savannah Sarah Nyagwachi
• Michelle Chelsea Nyberg, RD
• William Nyitray, M.D.
• Mark L. Nystrom, MD
• O Imo MD
• Cherokee Kitty O'Boyle
• Melody May O'Brien Woodford

• Family Medicine Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.