Individual provider Active NPI

Arthur J Brinckerhoff, M.D.

  • Internal Medicine Physician
  • Chico, CA
National Provider Identifier
1023049624
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G32885 Issued in CA
Practice address
277 Cohasset Rd
Chico, CA 95926
Phone
(530) 872-6650
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G32885 CA Primary

Addresses

Primary practice location

277 Cohasset Rd
Chico, CA 95926

Mailing address

277 Cohasset Rd
Chico, CA 95926-2242
Phone (530) 872-6650

Other practice location 1

6470 Pentz Rd
Suite B
Paradise, CA 95969-3674
Phone (530) 876-7800

Other practice location 2

6470 Pentz Rd
Suite B
Paradise, CA 95969-3674
Phone (530) 876-7800

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ01920ZOtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080522000257 CA Practitioner - Internal Medicine 6002724713 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32885CAMDDental Hygienist
G32885CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paradise Medical Group, Inc. Internal Medicine CurrentSince Oct 1, 2001 Accepting new patients

Locations

277 Cohasset Rd
Chico, CA 95926
Phone (530) 332-5170

6460 Pentz Rd
Ste C
Paradise, CA 95969
Phone (530) 221-1312

6470 Pentz Rd
Ste B
Paradise, CA 95969
Phone 53087266502029

Interoperability endpoints

  • Direct secure messaging: arthur.brinckerhoff.1@10649.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1023049624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262242",
            "telephone_number": "530-872-6650",
            "fax_number": "530-872-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "95926",
            "telephone_number": "530-872-6650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6470 Pentz Rd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Paradise",
            "state": "CA",
            "postal_code": "959693674",
            "country_code": "US",
            "telephone_number": "530-876-7800",
            "fax_number": "530-876-7805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6470 Pentz Rd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Paradise",
            "state": "CA",
            "postal_code": "959693674",
            "country_code": "US",
            "telephone_number": "530-876-7800",
            "fax_number": "530-876-7805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINCKERHOFF",
        "first_name": "ARTHUR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G32885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ01920Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.