BRON DAVID SULLIVAN
NPI 1194407064
Rehabilitation Practitioner in Fresno, CA

Q: What is Bron Sullivan's NPI number?

The NPI number for Bron Sullivan is 1194407064. It was assigned to this individual provider in the NPPES registry on August 1, 2023.

Q: What is Bron Sullivan's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for Bron Sullivan was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 01, 2023

2142 N BLYTHE AVE, FRESNO, CA 93722(559) 276-7680(559) 271-8927 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bron David Sullivan NPPES

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

BRON DAVID SULLIVAN (NPI 1194407064) is an individual rehabilitation practitioner in Fresno, California and active in the NPI registry since August 2023. He maintains 4 additional practice locations.

NPPES Registry Identity

NPI1194407064

Entity TypeIndividualMale

Primary Taxonomy225400000X

Provider Legal NameBRON DAVID SULLIVAN

Location Address2142 N BLYTHE AVEFresno, CA 93722-5402

Mailing Address4460 W Shaw Ave # 595Fresno, CA 93722-6210 · (559) 277-3494 · Fax (559) 271-8927

Phone(559) 276-7680

Fax(559) 271-8927

Sole ProprietorNo

Enumeration DateAugust 1, 2023

Last NPPES UpdateAugust 11, 2025

NPPES CertifiedAugust 11, 2025

✔ NPI 1194407064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

2142 N BLYTHE AVE, Fresno, CA 93722

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Secondary Practice Locations 4

Location 1114 S Brawley AveFresno, CA 93706-2103 · Phone (559) 443-2166 · Fax (559) 271-8927

Location 23793 N Polk AveFresno, CA 93722-9763 · Phone (559) 271-1206 · Fax (559) 271-8927

Location 33765 W Dakota AveFresno, CA 93722-4784 · Phone (559) 271-8421 · Fax (559) 271-8927

Location 47171 W Rialto AveFresno, CA 93723-9407 · Phone (559) 271-8421

Other Providers at the Same Location NPPES 15

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

JONATHAN WAYNE MURRAY JR.

Rehabilitation Practitioner