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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDY JOSEPH BRUSH, P.A.

Active

Medical Physician Assistant · SOUTH BEND, IN

Registration Details

NPI Number
1902141237
Provider Type
Individual
Gender
Male
NPI Issued
Nov 27, 2012 (13.399593187207 yrs)
Last Updated
Nov 27, 2012
License
99054700A (IN)

Practice Information

Address
6301 UNIVERSITY COMMONS
SUITE 210
SOUTH BEND, IN, 466351571
Browse IN providers · Browse ZIP 46635
Phone
5742344016
Fax
5742512095
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in SOUTH BEND, IN

Name Credential NPI
RUTH A. MCDOWELL PA-C 1619069606
SARAH ANNE WOODRICK PA 1467909697
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.