Brian Patrick Fitzgerald | San Diego, CA • PECOS Search

Brian Patrick Fitzgerald

General Practice

Allopathic & Osteopathic Physicians

34800 Bob Wilson Dr, San Diego, CA 92134-1098

(619) 532-6400 (505) 850-3190

PECOS Enrollment

Based on the most recent information from CMS, provider Brian Patrick Fitzgerald does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1205681145
Provider Type
Individual
Full Name
Fitzgerald, Brian Patrick
Gender
Male

Sole Proprietor
No
Enumeration Date
4/23/2024
Last Updated
10/21/2025

Contact Information

Practice Location

34800 Bob Wilson Dr, San Diego, CA 92134-1098

Unlisted Fax

Mailing Location

1440 Hotel Cir N Apt 131, San Diego, CA 92108-2914

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License A203892 California