Provider Demographics
NPI:1386604536
Name:SHERMAN, BRET EDWARD (MD, PHD, FACS)
Entity type:Individual
Prefix:
First Name:BRET
Middle Name:EDWARD
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:MD, PHD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 E HERNDON AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2993
Mailing Address - Country:US
Mailing Address - Phone:559-431-0340
Mailing Address - Fax:559-431-0301
Practice Address - Street 1:540 E HERNDON AVE STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2993
Practice Address - Country:US
Practice Address - Phone:559-431-0340
Practice Address - Fax:559-431-0301
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA60899207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA040016256OtherRAILROAD MEDICARE
CA00A608990Medicaid
CA00A608990Medicare PIN
CAH35174Medicare UPIN