Provider Demographics
NPI:1356391379
Name:FISCHER, BARTON BRADFIELD (MD)
Entity type:Individual
Prefix:DR
First Name:BARTON
Middle Name:BRADFIELD
Last Name:FISCHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7436 N. BLYTHE AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-9719
Mailing Address - Country:US
Mailing Address - Phone:559-435-8345
Mailing Address - Fax:559-435-8345
Practice Address - Street 1:2828 N. FRESNO ST
Practice Address - Street 2:SUITE 100
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721
Practice Address - Country:US
Practice Address - Phone:559-263-9648
Practice Address - Fax:559-263-9777
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG31220207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G312200OtherBLUE SHIELD OF CA
CA00G312200Medicaid
CA00G312203Medicare PIN
CA00G312200OtherBLUE SHIELD OF CA
CA050071341Medicare PIN
CA00G312202Medicare PIN