Healthcare Provider Details

I. General information

NPI: 1831630243
Provider Name (Legal Business Name): BRETT WILLIAM HUGHES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2017
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 AVOCADO AVE STE 807
NEWPORT BEACH CA
92660-7709
US

IV. Provider business mailing address

1441 AVOCADO AVE STE 807
NEWPORT BEACH CA
92660-7709
US

V. Phone/Fax

Practice location:
  • Phone: 949-650-5155
  • Fax:
Mailing address:
  • Phone: 949-650-5155
  • Fax: 949-644-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA200982
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA200982
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: