MEDICARE: BRETT J SCHULTE M.D.

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	208600000X	Surgery Physician	MD20404	OR

General Provider Information

NPI Number	:	1285637579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRETT J SCHULTE M.D.

Provider Business Mailing Address
First Line	:	121 SOTOYOME ST STE 201
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95405-4822
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 SOTOYOME ST STE 201
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95405
Country	:	US
Telephone Number	:	707-579-2100
Fax Number	:	707-523-0616

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	11/10/2021

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