Individual provider Active NPI

Scott Victor Bratman, MD, PHD

  • Radiation Oncology Physician
  • Stanford, CA
National Provider Identifier
1164737318
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A113507 Issued in CA
Practice address
875 Blake Wilbur Drive
Stanford Cancer Center
Stanford, CA 94305-5847
Phone
(650) 723-6171
Fax
(650) 725-8231
NPI assigned
Aug 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A113507 CA Primary

Addresses

Primary practice location

875 Blake Wilbur Drive
Stanford Cancer Center
Stanford, CA 94305-5847

Mailing address

875 Blake Wilbur Drive
Stanford Cancer Center
Stanford, CA 94305-5847
Phone (650) 723-6171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A113507CAMDRadiation Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1164737318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 BLAKE WILBUR DRIVE",
            "address_2": "STANFORD CANCER CENTER",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055847",
            "telephone_number": "650-723-6171",
            "fax_number": "650-725-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 BLAKE WILBUR DRIVE",
            "address_2": "STANFORD CANCER CENTER",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055847",
            "telephone_number": "650-723-6171",
            "fax_number": "650-725-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATMAN",
        "first_name": "SCOTT",
        "middle_name": "VICTOR",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A113507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.