Provider Demographics
NPI:1962457473
Name:VOLPI, BRAD A (MD)
Entity Type:Individual
Prefix:
First Name:BRAD
Middle Name:A
Last Name:VOLPI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:400 TAYLOR BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523
Mailing Address - Country:US
Mailing Address - Phone:925-602-7060
Mailing Address - Fax:925-602-7070
Practice Address - Street 1:400 TAYLOR BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523
Practice Address - Country:US
Practice Address - Phone:925-602-7060
Practice Address - Fax:925-602-7070
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG610172084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G610170Medicaid
CA130005078OtherMEDICARE RAIL ROAD
CA00G610170Medicare PIN
D27144Medicare UPIN