Active NPI
Robert Brink, M.D.
- Ph.D. Medical Genetics
- San Mateo, CA
National Provider Identifier
1992822522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ph.D. Medical Genetics
- License
- C35279
- Practice address
- 66 Bovet Rd
Sutie 103
San Mateo, CA 94402-3125 - Phone
- (650) 570-0529
- NPI assigned
- Mar 26, 2007
- 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 |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 170100000X | C35279 | CA | Primary |
Addresses
Primary practice location
66 Bovet Rd
Sutie 103
San Mateo, CA 94402-3125
Mailing address
66 Bovet Rd
Sutie 103
San Mateo, CA 94402-3125
Phone (650) 570-0529
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 |
|---|---|---|---|
| C35279 | CA | MD | Ph.D. Medical Genetics |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233187200000",
"number": "1992822522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 BOVET RD",
"address_2": "SUTIE 103",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944023125",
"telephone_number": "650-570-0529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 BOVET RD",
"address_2": "SUTIE 103",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944023125",
"telephone_number": "650-570-0529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINK",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2009-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "170100000X",
"taxonomy_group": "",
"desc": "Medical Genetics, Ph.D. Medical Genetics",
"state": "CA",
"license": "C35279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.