MEDICARE: WILLIAM FRANK BRATH M.D., MPH

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	2083A0100X	Aerospace Medicine Physician	G11254	CA

General Provider Information

NPI Number	:	1801937651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM FRANK BRATH M.D., MPH

Provider Business Mailing Address
First Line	:	1534 S MONTE VIENTO ST
Second Line	:
City	:	MALIBU
State	:	CA
Zip	:	90265-3062
Country	:	US
Telephone Number	:	310-641-8111
Fax Number	:	310-337-7274

Provider Business Practice Location Address
First Line	:	8930 S. SEPULVEDA BL.
Second Line	:	S-200
City	:	LOS ANGELES
State	:	CA
Zip	:	90045
Country	:	US
Telephone Number	:	310-641-8111
Fax Number	:	310-337-7274

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	12/14/2025

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