DR. BRYAN FLETCHER DO
NPI 1164804605
General Practice in Fort Irwin, CA

Active since June 21, 2015PECOS EnrolledAccepts Medicare Assignment
390 NORTH LOOP ROAD, FORT IRWIN, CA 92310(760) 380-9637 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2022, Aug 14, 2017 (2 updates tracked since 2017).

About Dr. Bryan Fletcher Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRYAN FLETCHER DO (NPI 1164804605) is an individual general practice provider in Fort Irwin, California, licensed in Hawaii (1837) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1164804605
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. BRYAN FLETCHERCredential: DO
Location Address390 NORTH LOOP ROADFort Irwin, CA 92310
Mailing AddressWeed Army Community Hospital - Attn: Mckx Bh, Attn: Mckx Bh P.o. Box 105109Fort Irwin, CA 92310
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 21, 2015
Last NPPES UpdateOctober 28, 20242 updates tracked since enumeration
NPPES CertifiedMay 27, 2022
NPI 1164804605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in HI · 1837
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
390 NORTH LOOP ROAD, Fort Irwin, CA 92310

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Bryan Fletcher Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42731945
PECOS Enrollment IDI20250307001941
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
390 NORTH LOOP ROAD
FORT IRWIN, CA 92310
Physician Assistant
390 NORTH LOOP ROAD
FORT IRWIN, CA 92310
Student in an Organized Health Care Education/Training Program
390 NORTH LOOP ROAD
FORT IRWIN, CA 92310
Family Medicine (Sports Medicine)
390 NORTH LOOP ROAD
FORT IRWIN, CA 92310
Social Worker (Clinical)
390 NORTH LOOP ROAD
FORT IRWIN, CA 92310
Nurse Anesthetist, Certified Registered
390 NORTH LOOP ROAD
FORT IRWIN, CA 92310
Radiology (Diagnostic Radiology)
390 NORTH LOOP ROAD
FORT IRWIN, CA 92310
Social Worker (Clinical)
390 NORTH LOOP ROAD
FORT IRWIN, CA 92310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Fletcher's NPI number?

The NPI number for Bryan Fletcher is 1164804605. It was assigned to this individual provider in the NPPES registry on June 21, 2015.

Where is Bryan Fletcher located?

Bryan Fletcher practices at 390 North Loop Road, Fort Irwin, CA 92310. The listed phone number is (760) 380-9637.

What is Bryan Fletcher's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Bryan Fletcher enrolled in Medicare?

Yes. Bryan Fletcher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Bryan Fletcher was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.