MEDICARE: DR. MARTIN M BRESS 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
1	207R00000X	Internal Medicine Physician	G24462	CA
2	207RC0000X	Cardiovascular Disease Physician	G24462	CA

General Provider Information

NPI Number	:	1720084049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN M BRESS MD

Provider Business Mailing Address
First Line	:	930 SUNNYSLOPE RD.
Second Line	:	SUITE B-1
City	:	HOLLISTER
State	:	CA
Zip	:	95023-5616
Country	:	US
Telephone Number	:	831-637-9215
Fax Number	:	831-637-8765

Provider Business Practice Location Address
First Line	:	930 SUNNYSLOPE RD
Second Line	:	STE B1
City	:	HOLLISTER
State	:	CA
Zip	:	95023-5616
Country	:	US
Telephone Number	:	831-637-9215
Fax Number	:	831-637-8765

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	08/30/2016

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