Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley Borsari, MD

Individual provider Specialist · NPI 1104826619

Bradley Borsari, MD is an Internal Medicine in Fullerton, California. Graduated from Ponce School of Medicine in 1999, 27 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
27
Trained at
Ponce School of Medicine
Licensed in
CA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2141 N Harbor Blvd Ste 25000
Fullerton, CA 92835-3827
Phone: (714) 626-8610
Fax: (714) 626-8655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A76554 (CA)
Specialist Taxonomy 174400000X · Licence A76554B (CA)

Record details

NPI number1104826619
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESApril 25, 2013
Mailing address279 Imperial Hwy, Suite 730, Fullerton, CA 92835-1041

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolPONCE SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Fullerton