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NPI Code Detail

MEDICARE: DR. BARBARA BRUTON M.D.

MEDICARE:  DR. BARBARA  BRUTON  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
1207R00000XInternal Medicine PhysicianA45856CA
2207RA0401XAddiction Medicine (Internal Medicine) PhysicianA45856CA

General Provider Information

NPI Number : 1730272527
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARBARA BRUTON M.D.
Provider Business Mailing Address
First Line : 18815 PEPPERDINE DR
Second Line :
City : CARSON
State : CA
Zip : 90746-3905
Country : US
Telephone Number : 310-817-2012
Fax Number : 310-715-1813
Provider Business Practice Location Address
First Line : 4267 MARINA CITY DR UNIT 1106
Second Line :
City : MARINA DEL REY
State : CA
Zip : 90292-5812
Country : US
Telephone Number : 424-384-3432
Fax Number : 310-817-2012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 12/31/2024

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Directions to “ DR. BARBARA BRUTON M.D.” Practice Location

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