Bradley Glenn Jann, D.P.M

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3865 Issued in CA

Practice address

100 Thorndale Dr
Medical Clinic
San Rafael, CA 94903-4501

Phone

(415) 461-5995

Fax

(415) 461-5995

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Simonmed Imaging a Professional Corporation

  • Diagnostic Radiology Physician
  • Palo Alto, CA
  • NPI 1184925141
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1265429310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751347",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949751347",
            "telephone_number": "415-461-5995",
            "fax_number": "707-545-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 THORNDALE DR",
            "address_2": "MEDICAL CLINIC",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034501",
            "telephone_number": "415-461-5995",
            "fax_number": "415-461-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANN",
        "first_name": "BRADLEY",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E38650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan L James
• Hyunae Jang, D.M.D
• Miriam Jang, MD
• Rachel Andrea Janin, P.T.
• Nancy Greathead Janko, MFTI
• Laura Ann Janssen, NP RN CNM
• Alan Nmi Jarach, MD
• Kathleen Mary Teresa Jarosz, MSW
• Jill Annette Jarvie, RN, CNS
• Thomas Sterling Jarvis, DDS

• Podiatrist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.