Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Brenda R Van Fossen, MD

Pediatrics Physician in Liverpool, NY · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073522587

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Registry record

Entity type Individual (Type 1)

Name Brenda R Van Fossen

Credential MD

Sex Female

Practice address 7375 Oswego Rd, Liverpool, NY, 13090

Phone (315) 291-0064

Fax (315) 291-0065

Enumeration date Aug 5, 2006

Last updated in NPPES Mar 22, 2018

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License MD00043720 (WA) Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 291334 (NY) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
0191866	Other	WA	STATE L&I
8409245	Medicaid	WA	-
8939525	Other	WA	STATE CRIME VICTIMS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Brenda Van Fossen?

Brenda Van Fossen is registered in NPPES with the primary taxonomy of Pediatrics Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-22.