Individual provider Active NPI

Laura Brusett, MD

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1164686127
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A114524 Issued in CA
Practice address
1760 Gold St
Suite 600
Redding, CA 96001-1806
Phone
(530) 247-8200
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A114524 CA Primary

Addresses

Primary practice location

1760 Gold St
Suite 600
Redding, CA 96001-1806

Mailing address

1760 Gold St
Suite 600
Redding, CA 96001-1806

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
I20120803000076 CA Practitioner - Family Practice 6507012705 Reassigns benefits to 1 organization
Practice locations: Redding, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3400 Knighton Rd
Redding, CA 96002-9657
Phone (530) 224-3429

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A114524CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Veterans Affairs of the State of California CurrentSince Nov 1, 2016 Accepting new patients
Department of Veterans Affairs of the State of California CurrentSince Nov 1, 2016 Accepting new patients

Locations

3400 Knighton Rd
Redding, CA 96002
Phone (530) 224-3429

1227 O St
Rm 402
Sacramento, CA 95814

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1164686127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 GOLD ST",
            "address_2": "SUITE 600",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 GOLD ST",
            "address_2": "SUITE 600",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011806",
            "telephone_number": "530-247-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSETT",
        "first_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A114524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.