Brian James Baumgartner, M.D.
Individual provider Active NPI Otolaryngology Physician · Placerville, CA
NPI 1033181706 · NPPES record last updated Oct 15, 2025
Key facts
- NPI
- 1033181706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- A74453 (CA)
- Practice address
- 4300 Golden Center Dr Ste D
Placerville, CA 95667-6278 - Phone
- (530) 344-2000
- Fax
- (530) 748-0333
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marshall Medical Center
Wilson County Memorial Hospital District
Practice addresses (Care Compare)
4300 Golden Ctr Dr
Suite D
Placerville, CA 95667-6278
Phone (530) 344-2000
495 10TH St
Suite 103
Floresville, TX 78114-3163
Phone (830) 393-2140
Hospital & facility affiliations
- Marshall Medical Center
- Connally Memorial Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110829000411 | CA | Practitioner - Otolaryngology | 7517096407 | Reassigns benefits to 1 organization |
| I20241106002070 | TX | Practitioner - Otolaryngology | 7517096407 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A74453 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson County Memorial Hospital District | Otolaryngology | Current |
Accepting new patients |
| Marshall Medical Center | Current |
Accepting new patients | |
| Wilson County Memorial Hospital District | Current |
Accepting new patients | |
| Marshall Medical Center | Current |
Accepting new patients | |
| Thomas Stewart MD Inc | Past | Accepting new patients | |
| Marshall Medical Center | Past | Accepting new patients |
Locations
4300 Golden Center Dr
Ste D
Placerville, CA 95667
Phone (530) 344-2000
1004 Fowler Way
Ste 4
Placerville, CA 95667
Phone (530) 626-9488
499 10th St
Floresville, TX 78114
Phone (830) 216-7096
495 10th St
Ste 103
Floresville, TX 78114
Phone (830) 393-2140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | A74453 | CA | Yes |
Addresses
Primary practice location
4300 Golden Center Dr Ste D
Placerville, CA 95667-6278
Mailing address
PO Box 45680
San Francisco, CA 94145-0680
Phone (530) 344-2000
Other providers in Placerville, CA
- Rebecca Marie Barrington
- Cecilia Barron
- Christine Barton
- Diane Bass
- Tanisha Renee Batts
- Jovon Beck
- David C Becker-Ellison
- Brittiany Nicole Beduhn
- Jessica Angeline Belcher
- Yuliya S Belikova
All providers in Placerville, CA · Otolaryngology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.