Active NPI
Brandt Crawford
- Family Nurse Practitioner
- San Francisco, CA
National Provider Identifier
1275290223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 30796
- Practice address
- 655 Montgomery St Ste 810
San Francisco, CA 94111-2677 - Phone
- (844) 847-8216
- Fax
- (415) 520-9150
- NPI assigned
- Nov 24, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 30796 | TN | Primary |
Addresses
Primary practice location
655 Montgomery St Ste 810
San Francisco, CA 94111-2677
Mailing address
1320 Clear Brook Dr
Knoxville, TN 37922-6062
Phone (865) 804-6738
Other practice location 1
1320 Clear Brook Dr
Knoxville, TN 37922-6062
Phone (865) 804-6738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, TX, MN, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30796 | TN | MD | Family Nurse Practitioner |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1275290223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 CLEAR BROOK DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379226062",
"telephone_number": "865-804-6738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 MONTGOMERY ST STE 810",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941112677",
"telephone_number": "844-847-8216",
"fax_number": "415-520-9150"
}
],
"practiceLocations": [
{
"address_1": "1320 Clear Brook Dr",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379226062",
"country_code": "US",
"telephone_number": "865-804-6738",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAWFORD",
"first_name": "BRANDT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-24",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "30796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.