Individual provider Active NPI

Bryan Lawrence Stone, M.D.

  • Specialist
  • Palm Springs, CA
National Provider Identifier
1225095383
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G08187 Issued in CA
Practice address
1180 N Indian Canyon Dr
Ste W303
Palm Springs, CA 92262-4800
Phone
(760) 416-4819
Fax
(760) 416-4829
NPI assigned
May 1, 2006
Last updated
Oct 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G08187 CA Primary

Addresses

Primary practice location

1180 N Indian Canyon Dr
Ste W303
Palm Springs, CA 92262-4800

Mailing address

1180 N Indian Canyon Dr
Ste W303
Palm Springs, CA 92262-4800
Phone (760) 416-4819

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
I20080407000628 CA Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Neurology 8022035385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Boston University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desert NephrologyGroup PAC ID 2769420066, 2 clinicians

Practice addresses (Care Compare)

69730 Hwy 111
Suite 107
Rancho Mirage, CA 92270-2873
Phone (760) 832-6578

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G08187CAMDSpecialist
80187CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Nephrology Specialist CurrentSince Jan 1, 2008 Accepting new patients
Dolores Dialysis LLC PastSince Nov 1, 2011 Accepting new patients
Desert Nephrology Specialist Past Accepting new patients

Locations

1180 N Indian Canyon Dr
Ste W303
Palm Springs, CA 92262
Phone (760) 416-4819

69730 Highway 111
Ste 107
Rancho Mirage, CA 92270
Phone (760) 328-6575

69730 Highway 111
Ste 117
Rancho Mirage, CA 92270

56845 29 Palms Hwy
Ste 102
Yucca Valley, CA 92284

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bryan.stone.p2@direct.mydohc.nextgenshare.com
  • Direct secure messaging: bryan.stone@direct.davitaphysiciansolutions.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1225095383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR",
            "address_2": "STE W303",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624800",
            "telephone_number": "760-416-4819",
            "fax_number": "760-416-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR",
            "address_2": "STE W303",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624800",
            "telephone_number": "760-416-4819",
            "fax_number": "760-416-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "BRYAN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G08187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.