BRON DAVID SULLIVAN
NPI 1194407064
Rehabilitation Practitioner in Fresno, CA
- Individual
- Male
- Rehabilitation Practitioner
About BRON SULLIVAN
This page provides the complete NPI Profile along with additional information for Bron Sullivan, a provider established in Fresno, California with a medical specialization in Rehabilitation Practitioner. The healthcare provider is registered in the NPI registry with number 1194407064 assigned on August 2023. The practitioner's primary taxonomy code is 225400000X. The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1194407064 Verify this NPI
- Provider Name
- BRON DAVID SULLIVAN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2142 N BLYTHE AVE FRESNO, CA 93722
- Location Phone
- (559) 276-7680
- Location Fax
- (559) 271-8927
- Mailing Address
- 4460 W SHAW AVE # 595 FRESNO, CA 93722
- Mailing Phone
- (559) 277-3494
- Mailing Fax
- (559) 271-8927
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-01-2023
- Last Update Date
- 08-11-2025
- Code Navigator
Location Map
Secondary Locations
- 3765 W Dakota Ave
Fresno, CA 93722
(559) 271-8421 - 114 S Brawley Ave
Fresno, CA 93706
(559) 443-2166 - 3793 N Polk Ave
Fresno, CA 93722
(559) 271-1206 - 7171 W Rialto Ave
Fresno, CA 93723
(559) 271-8421
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation Practitioner
- Taxonomy Code
- 225400000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| 3 | 172V00000X | Other Service Providers | Community Health Worker |
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Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
FRESNO, CA 93722
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194407064, enumerated as an "individual" on August 01, 2023.
The provider is located at 2142 N BLYTHE AVE FRESNO, CA 93722 and the phone number is (559) 276-7680.
Rehabilitation Practitioner with taxonomy code 225400000X.
