Healthcare Provider Details
I. General information
NPI: 1215949722
Provider Name (Legal Business Name): BRET NICHOLAS NAMIHAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/13/2006
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2147 COURT ST
REDDING CA
96001-2531
US
IV. Provider business mailing address
2147 COURT ST
REDDING CA
96001-2531
US
V. Phone/Fax
- Phone: 530-243-8667
- Fax: 530-243-8742
- Phone: 530-244-3622
- Fax: 530-244-1029
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 00G587910 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | G58791 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: