Individual provider · NPI-1

Dr. Brendt D. Carlson, MD

Internal Medicine · Watsonville, CA

NPI number1609916063
StatusActive
Last updated in NPPESJun 29, 2012

Details

NPI
1609916063
Entity type
Individual (NPI-1)
Name
Dr. Brendt D. Carlson
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 7, 2007
Last updated
Jun 29, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineA41986CAYes

Practice location

846 Freedom Blvd
Watsonville, CA 95076

Phone 831-761-7225 · Fax 831-761-1178

Mailing address

846 Freedom Blvd
Watsonville, CA 95076

Phone 831-761-7225 · Fax 831-761-1178

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in Watsonville, CA