MEDICARE: ADVANCED MEDICAL CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	363A00000X	Physician Assistant
3	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1245228154
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	1700 BRANHAM LN
Second Line	:	A10
City	:	SAN JOSE
State	:	CA
Zip	:	95118-2256
Country	:	US
Telephone Number	:	408-264-6644
Fax Number	:	408-264-3515

Provider Business Practice Location Address
First Line	:	1700 BRANHAM LN
Second Line	:	A10
City	:	SAN JOSE
State	:	CA
Zip	:	95118-2256
Country	:	US
Telephone Number	:	408-264-6644
Fax Number	:	408-264-3515

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRIAN EDWARD COYLE
Credential	:	DC
Telephone Number	:	408-264-6644

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	09/11/2025

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