BRENT ANTHONY FEUDALE M.D. NPI 1598025116

NPI Information

NPI: 1598025116
Provider Name: BRENT ANTHONY FEUDALE, M.D.
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
9300 VALLEY CHILDRENS PL # FC06
MADERA, CA
ZIP 93636
Phone: (559) 353-5803
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Brent Anthony Feudale, M.D. is a pediatric emergency medicine pediatrics in Madera, CA. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Brent Anthony Feudale, M.D. NPI is 1598025116. 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:

9300 VALLEY CHILDRENS PL # FC06
MADERA, CA
ZIP 93636-761
Phone: (559) 353-5803

The NPI 1598025116 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 5/17/2012 and was last updated on 8/1/2022.

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
1	2080P0204X	Pediatrics	Pediatric Emergency Medicine	A135002	CALIFORNIA	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program			NEW YORK	No
3	208000000X	Pediatrics		A135002	CALIFORNIA	No
4	208000000X	Pediatrics		51747	ARIZONA	No
5	2080P0204X	Pediatrics	Pediatric Emergency Medicine	51747	ARIZONA	No

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: 4/28/2024

NPI Synchronization or Removal

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