NPIMap

Organization Active NPI

Bret Powers DO Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Riverside, CA
National Provider Identifier
1053618835
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
20A9577 Issued in CA
Legal business name
BRET POWERS DO INC
Practice address
4234 Riverwalk Pkwy
Ste 200
Riverside, CA 92505-8510
Phone
(951) 270-0882
NPI assigned
Feb 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Bret Powers, DO
Title
President
Phone
(951) 270-0882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X 20A9577 CA Primary

Addresses

Primary practice location

4234 Riverwalk Pkwy
Ste 200
Riverside, CA 92505-8510

Mailing address

PO Box 1007
Murrieta, CA 92564-1007
Phone (951) 719-3330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1053618835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1007",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925641007",
            "telephone_number": "951-719-3330",
            "fax_number": "951-296-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY",
            "address_2": "STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925058510",
            "telephone_number": "951-270-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRET POWERS DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "BRET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-270-0882",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "20A9577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.