Individual provider Active NPI

Brent C. Norman, MD

  • Ophthalmology Physician
  • Newport Beach, CA
National Provider Identifier
1164493284
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A42762 Issued in CA
Practice address
361 Hospital Rd
Suite 126
Newport Beach, CA 92663-3522
Phone
(949) 722-3980
Fax
(949) 722-3989
NPI assigned
Jan 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A42762 CA Primary

Addresses

Primary practice location

361 Hospital Rd
Suite 126
Newport Beach, CA 92663-3522

Mailing address

361 Hospital Rd
Suite 126
Newport Beach, CA 92663-3522
Phone (949) 722-3980

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
I20071113000246 CA Practitioner - Ophthalmology 8426146259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson McBeath and Boswell IncGroup PAC ID 1153325394, 7 clinicians

Practice addresses (Care Compare)

361 Hospital Rd
Suite 126
Newport Beach, CA 92663-3510
Phone (562) 984-7024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A42762CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carson McBeath & Boswell Inc. Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
St. Joseph Hospital Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

4300 Long Beach Blvd
Ste 300
Long Beach, CA 90807
Phone (562) 984-7024

361 Hospital Rd
Ste 126
Newport Beach, CA 92663
Phone (562) 984-7024

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bnorman@southcoastretina.intellechartdirect.net
  • Direct secure messaging: brent.norman.p73@direct.nautilus.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164493284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD",
            "address_2": "SUITE 126",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633522",
            "telephone_number": "949-722-3980",
            "fax_number": "949-722-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD",
            "address_2": "SUITE 126",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633522",
            "telephone_number": "949-722-3980",
            "fax_number": "949-722-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "BRENT",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A42762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.