IndividualActive
Brett Bird, NP
NPI 1780453191 · Gerontology Nurse Practitioner · Victorville, CA
Provider details
- NPI number
- 1780453191
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- 95028522 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
12740 Hesperia Rd Ste B
Victorville, CA 92395-8306
Phone: (760) 998-1999
Approximate (ZIP-level) locationGet directions
Mailing address
21360 Telegraph Rd
Riverside, CA 92507-0053
Registry dates
- Enumerated
- 2023-12-27
- Last updated
- 2024-01-17
- Certified
- 2024-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.