Pardeep Brar M.D., Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

C54142 Issued in CA

Legal business name

PARDEEP BRAR M.D., INC.

Practice address

803 Coffee Rd
Suite #5
Modesto, CA 95355-4227

Phone

(209) 484-9855

NPI assigned

Jun 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Pardeep Brar, M.D.NPI 1538153713

Title

Owner

Phone

(209) 484-9855

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pardeep S Brar, MD,

  • Gastroenterology Physician
  • Modesto, CA
  • NPI 1538153713
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1992067631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3346",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953533346",
            "telephone_number": "209-484-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 COFFEE RD",
            "address_2": "SUITE #5",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554227",
            "telephone_number": "209-484-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARDEEP BRAR M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "BRAR",
        "authorized_official_first_name": "PARDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-484-9855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C54142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "EP663Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxanne T Paradeza
• Amy Mailand Paradis, NNP, CNS
• David R. Paradis, MD
• Christine Pardee
• Savanah Pardee
• Joscelyn Quezada Pardo
• Melissa Paredes Nevarez
• Delia Paredez
• Parent Resource Center
• Jennifer Parga

• Gastroenterology Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.