Healthcare Provider Details

I. General information

NPI: 1356329783
Provider Name (Legal Business Name): DAVID REED CONDIE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 MOUNT VERNON AVE
BAKERSFIELD CA
93306-4018
US

IV. Provider business mailing address

9207 SHANDIN HILLS LN
BAKERSFIELD CA
93312-3963
US

V. Phone/Fax

Practice location:
  • Phone: 661-326-5000
  • Fax:
Mailing address:
  • Phone: 661-205-6656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberG-138785
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: