Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NATHAN DARIO BRINCKHAUS
DeactivatedNATHAN DARIO BRINCKHAUS is a Family Medicine healthcare provider located in FORTUNA, California. NPI 1508156910 is deactivated in the NPPES registry. Verify at CMS.
Family Medicine · FORTUNA, CA
This NPI has been deactivated.
The record was deactivated on December 9, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1508156910
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2011 (13.641095890411 yrs)
- Last Updated
- Dec 19, 2024
- Deactivated
- Dec 9, 2024
- License
-
A124994 (CA)
Practice Information
- Address
-
2404 NEWBURG RDFORTUNA, CA, 955402818Browse CA providers · Browse ZIP 95540
- Phone
- 7076172002
- Fax
- 8339414882
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Student (Health Education/Training)
Other Family Medicine Providers in FORTUNA, CA
| Name | Credential | NPI |
|---|---|---|
| TAMARA SMITH DOUGLASS | M.D. | 1952396103 |
| RODNEY BLAINE GROVER | DO | 1790735223 |
| PHILIP L OLKIN | M.D. | 1508897950 |
| DR. CLIFFORD RAY JONES | M.D. | 1427083187 |
| DR. RUBEN E BRINCKHAUS | MD | 1891708806 |
| STEPHANIE S DITTMER | MD | 1942422688 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.