Active NPI
Brian T MC Caffrey, M.D.
- Urology Physician
- Modesto, CA
National Provider Identifier
1013940451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- A25357
- Practice address
- 1541 Florida Ave
Suite 200
Modesto, CA 95350-4429 - Phone
- (209) 577-3388
- Fax
- (209) 523-0764
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | A25357 | CA | Primary |
Addresses
Primary practice location
1541 Florida Ave
Suite 200
Modesto, CA 95350-4429
Mailing address
1541 Florida Ave
Suite 200
Modesto, CA 95350-4429
Phone (209) 577-3388
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CD233Y | Other | CA | MEDICARE INDIVIDUAL PTAN |
| CD069A | Other | CA | MEDICARE GROUP PTAN |
| ZZZ48224Z | Other | CA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A25357 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Modesto Medical Surgical Associates, Inc. | Past | Accepting new patients | |
| McHenry Medical Group, Inc. | Urology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurological Surgery Physician
- Modesto, CA
- NPI 1801181151
-
- Urology Physician
- Turlock, CA
- NPI 1649456872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1013940451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1541 FLORIDA AVE",
"address_2": "SUITE 200",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504429",
"telephone_number": "209-577-3388",
"fax_number": "209-523-0764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 FLORIDA AVE",
"address_2": "SUITE 200",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504429",
"telephone_number": "209-577-3388",
"fax_number": "209-523-0764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MC CAFFREY",
"first_name": "BRIAN",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "A25357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL PTAN",
"identifier": "CD233Y",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "CD069A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "ZZZ48224Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.