MEDICARE: TODD E. BRANDTMAN 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	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	G42020	CA

General Provider Information

NPI Number	:	1336193432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD E. BRANDTMAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 5849
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-0849
Country	:	US
Telephone Number	:	530-228-5089
Fax Number	:

Provider Business Practice Location Address
First Line	:	1390 E LASSEN AVE
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95973-7823
Country	:	US
Telephone Number	:	530-332-5540
Fax Number	:

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

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	09/28/2021

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