MEDICARE: DR. CHRISTINE L. BILBREY 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	2084P0800X	Psychiatry Physician	A138335	CA

General Provider Information

NPI Number	:	1376766311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE L. BILBREY M.D.

Provider Business Mailing Address
First Line	:	3554 ROUND BARN BLVD
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-0929
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3554 ROUND BARN BLVD
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-0929
Country	:	US
Telephone Number	:	707-571-3778
Fax Number	:

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

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	01/25/2023

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