Masyn Enright, DO

Individual provider Active NPI Family Medicine Physician · Fort Bragg, CA

NPI 1184387201 · NPPES record last updated Jul 21, 2026

Key facts

NPI
1184387201
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
20A25437 (CA)
Practice address
700 River Dr
Fort Bragg, CA 95437-5403
Phone
(707) 961-4631
Fax
(707) 964-1192
NPI assigned
Oct 15, 2021
Sex
Female
Sole proprietor
Yes

Hospital & facility affiliations 2

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

Medicare Care Compare profile

Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1066 Kendalbrook Dr
Windsor, CO 80550-3918

238 Hospital Dr
Suite a
Ukiah, CA 95482-4559

PO Box
Los Angeles, CA 90084

Hospital & facility affiliations

  • Wray Community District Hospital Hospital · Wray, CO · CCN 061309

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230627000484 CO Order and Referring Only - Family Practice
Practitioner - Family Practice
3173981933

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A25437 CA Yes
Family Medicine Physician 207Q00000X TL.0010005 CO

Addresses

Primary practice location

700 River Dr
Fort Bragg, CA 95437-5403

Mailing address

700 River Dr
Fort Bragg, CA 95437-5403
Phone (707) 961-4631

Other practice location 1

850 Sequoia Cir
Fort Bragg, CA 95437-5490
Phone (707) 964-0259

Other names

  • Masyn Smith Former name

Other providers in Fort Bragg, CA

All providers in Fort Bragg, CA · Family Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.