Basic Information
Provider Information
NPI: 1033557343
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHUMACHER
FirstName: BERND
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 35 CASA ST
Address2: SUITE 270
City: SAN LUIS OBISPO
State: CA
PostalCode: 934051818
CountryCode: US
TelephoneNumber: 8055462057
FaxNumber: 8057840895
Practice Location
Address1: 35 CASA ST
Address2: SUITE 270
City: SAN LUIS OBISPO
State: CA
PostalCode: 934051818
CountryCode: US
TelephoneNumber: 8055462057
FaxNumber: 8057840895
Other Information
ProviderEnumerationDate: 06/08/2013
LastUpdateDate: 06/08/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VM0101XJ5892TXY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine

No ID Information.


Home