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NPI Code Detail

MEDICARE: BRIAN P WALCOTT MD

MEDICARE: BRIAN P WALCOTT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery PhysicianA136268CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1036149400OTHERILSTATE LICENSE
2A136268OTHERCASTATE LICENSE

General Provider Information

NPI Number : 1093975500
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN P WALCOTT MD
Provider Business Mailing Address
First Line : 2410 FLETCHER AVE STE 302
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-4877
Country : US
Telephone Number : 805-569-7820
Fax Number :
Provider Business Practice Location Address
First Line : 400 W PUEBLO ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-4353
Country : US
Telephone Number : 805-682-7111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2008
Last Update Date : 03/26/2026

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Directions to “ BRIAN P WALCOTT MD” Practice Location

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