Provider Demographics
NPI:1407869035
Name:SCHER, BRET R (MD)
Entity Type:Individual
Prefix:DR
First Name:BRET
Middle Name:R
Last Name:SCHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5525 GROSSMONT CENTER DR
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-3014
Mailing Address - Country:US
Mailing Address - Phone:619-644-6801
Mailing Address - Fax:619-644-6809
Practice Address - Street 1:5525 GROSSMONT CENTER DR
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-3014
Practice Address - Country:US
Practice Address - Phone:619-644-6801
Practice Address - Fax:619-644-6809
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA70172207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A701720Medicaid
CAWA70172AMedicare PIN
CA00A701720Medicaid