Provider Demographics
NPI:1225047467
Name:HARPOLE, B PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:B
Middle Name:PATRICK
Last Name:HARPOLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BERNARD
Other - Middle Name:PATRICK
Other - Last Name:HARPOLE
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:401 GREGORY LN
Mailing Address - Street 2:SUITE 238
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2800
Mailing Address - Country:US
Mailing Address - Phone:925-680-8700
Mailing Address - Fax:
Practice Address - Street 1:401 GREGORY LN
Practice Address - Street 2:SUITE 238
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2800
Practice Address - Country:US
Practice Address - Phone:925-680-8700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG24279174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA42219Medicare UPIN