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FREDERICK BRUCE KRAFT M.D. NPI 1831419902


NPI Information

NPI: 1831419902
Provider Name: FREDERICK BRUCE KRAFT, M.D.
Classification: Preventive Medicine - 2083P0500X
Entity Type: Individual

Specialization: Preventive Medicine/Occupational Environmental Medicine

PECOS Registration: Yes

Address:
1429 W FREMONT ST
STOCKTON, CA
ZIP 95203
Phone: (209) 546-7767
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Frederick Bruce Kraft, M.D. is a preventive medicine/occupational environmental medicine preventive medicine in Stockton, CA. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. Frederick Bruce Kraft, M.D. NPI is 1831419902. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1429 W FREMONT ST
STOCKTON, CA
ZIP 95203-635
Phone: (209) 546-7767
Fax: (209) 546-7785

The NPI 1831419902 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2010 and was last updated on 6/10/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineA48510CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A48510OTHERCALIFORNIACA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.