MEDICARE: KEVIN DAVID BRANDSTETTER M.D.

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
1	207P00000X	Emergency Medicine Physician	01062161A	IN
2	207P00000X	Emergency Medicine Physician	125-048102	IL
3	207P00000X	Emergency Medicine Physician	2006023031	MO
4	207P00000X	Emergency Medicine Physician	A102074	CA
5	207P00000X	Emergency Medicine Physician	036-118616	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245305168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN DAVID BRANDSTETTER M.D.

Provider Business Mailing Address
First Line	:	2425 GEARY BLVD
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3358
Country	:	US
Telephone Number	:	415-833-3304
Fax Number	:

Provider Business Practice Location Address
First Line	:	2425 GEARY BLVD
Second Line	:	EMERGENCY DEPARTMENT
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3358
Country	:	US
Telephone Number	:	415-833-3304
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/24/2006
Last Update Date	:	03/14/2026

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Directions to “ KEVIN DAVID BRANDSTETTER M.D.” Practice Location

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