Active NPI
Brianna Joy Cowan, M.D.
- Internal Medicine Physician
- Shiprock, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A104666
- Practice address
- US Hwy 491 North
Shiprock, NM 87420-0160 - Phone
- (505) 368-6001
- NPI assigned
- Dec 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A104666 | CA | Primary |
| Pediatrics Physician | 208000000X | A104666 | CA |
Addresses
Primary practice location
US Hwy 491 North
Shiprock, NM 87420-0160
Mailing address
PO Box 160
Shiprock, NM 87420-0160
Phone (505) 368-6001
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150121002093 | CA | Practitioner - Internal Medicine | 6507981586 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Wisconsin School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Venice Family Clinic
Practice addresses (Care Compare)
2509 Pico Blvd
Santa Monica, CA 90405-1828
Phone (310) 664-7901
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A104666 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Current | Accepting new patients | |
| UCLA Medical Group | Internal Medicine | Past | Accepting new patients |
Locations
200 Medical Plz
Ste 465
Los Angeles, CA 90095
Phone (310) 825-5510
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 55737
Los Angeles, CA 90074
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
Interoperability endpoints
- bcowan753308@direct.ochin.org
Organizations & group practices 19
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.
-
- Federally Qualified Health Center (FQHC)
- Culver City, CA
- NPI 1003842360
-
- Federally Qualified Health Center (FQHC)
- Venice, CA
- NPI 1053854836
-
- Federally Qualified Health Center (FQHC)
- Venice, CA
- NPI 1124054564
-
- Federally Qualified Health Center (FQHC)
- Gardena, CA
- NPI 1184297681
-
- Federally Qualified Health Center (FQHC)
- Venice, CA
- NPI 1326704107
-
- Federally Qualified Health Center (FQHC)
- Redondo Beach, CA
- NPI 1356914857
-
- Federally Qualified Health Center (FQHC)
- Culver City, CA
- NPI 1417490236
-
- Federally Qualified Health Center (FQHC)
- Carson, CA
- NPI 1457924953
-
- Federally Qualified Health Center (FQHC)
- Hawthorne, CA
- NPI 1518739515
-
- Federally Qualified Health Center (FQHC)
- Santa Monica, CA
- NPI 1558397067
-
- Federally Qualified Health Center (FQHC)
- Inglewood, CA
- NPI 1558934059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282867200000",
"number": "1073797684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160",
"city": "SHIPROCK",
"state": "NM",
"postal_code": "874200160",
"telephone_number": "505-368-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "US HWY 491 NORTH",
"city": "SHIPROCK",
"state": "NM",
"postal_code": "874200160",
"telephone_number": "505-368-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWAN",
"first_name": "BRIANNA",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-19",
"last_updated": "2010-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A104666",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A104666",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shiprock, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.