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

Brenda R Van Fossen, MD

Individual provider Pediatrics Physician · NPI 1073522587

Brenda R Van Fossen, MD is a Pediatrics Physician in Liverpool, New York. Licensed in New York and Washington. Registered with an NPI since 2006.

Licensed in
NY, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

7375 Oswego Rd
Liverpool, NY 13090-3717
Phone: (315) 291-0064
Fax: (315) 291-0065
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 291334 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence MD00043720 (WA)

Record details

NPI number1073522587
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 5, 2006
Last updated in NPPESMarch 22, 2018

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