Organization Active NPI

Kevin D. Trinh, MD and John L. Brazill, MD, a Medical Corp.

  • Specialist
  • Bakersfield, CA
National Provider Identifier
1164624813
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KEVIN D. TRINH, MD AND JOHN L. BRAZILL, MD, A MEDICAL CORP.
Practice address
2323 16TH St
Suite 302
Bakersfield, CA 93301-3420
Phone
(661) 395-1335
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Dr. John L Brazill, MD
Title
Vice President
Phone
(661) 395-1335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2323 16TH St
Suite 302
Bakersfield, CA 93301-3420

Mailing address

2323 16TH St
Suite 302
Bakersfield, CA 93301-3420
Phone (661) 395-1335

Other names 1

  • Bakersfield Pain Management, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071203000392 CA Part B Supplier - Clinic/Group Practice 6002905759 Receives reassigned benefits from 5 practitioners
Practice locations: Bakersfield, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2001770Kevin D. Trinh, M.D. & John L. Brazill, M.D.2323 16TH St Ste 504, Bakersfield, CA 93301Certificate of waiverDec 29, 2027

National Provider Directory

National Provider Directory

Locations

2323 16th St
Ste 302
Bakersfield, CA 93301
Phone (661) 324-8163

2323 16th St
Ste 105
Bakersfield, CA 93301

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1164624813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 16TH ST",
            "address_2": "SUITE 302",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013420",
            "telephone_number": "661-395-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 16TH ST",
            "address_2": "SUITE 302",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013420",
            "telephone_number": "661-395-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN D. TRINH, MD AND JOHN L. BRAZILL, MD, A MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "BRAZILL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "661-395-1335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bakersfield Pain Management, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.