Active NPI
Brandon Stephen Bentzley, MD, PHD
- Psychiatry Physician
- Palo Alto, CA
National Provider Identifier
1295197937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A150851
- Practice address
- 401 Quarry Rd
Palo Alto, CA 94304-1419 - Phone
- (650) 721-4420
- NPI assigned
- Mar 22, 2016
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A150851 | CA | Primary |
Addresses
Primary practice location
401 Quarry Rd
Palo Alto, CA 94304-1419
Mailing address
401 Quarry Rd
Palo Alto, CA 94304-1419
Phone (650) 721-4420
Other practice location 1
877 W Fremont Ave Ste J1
Sunnyvale, CA 94087-2332
Phone (650) 993-9996
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A150851 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Neurohealth, Inc. | Current | Accepting new patients |
Locations
4180 La Jolla Village Dr
Ste 240
La Jolla, CA 92037
Phone (310) 277-9534
23521 Paseo de Valencia
Ste 300
Laguna Hills, CA 92653
Phone (866) 277-2659
Interoperability endpoints
- brandon.bentzley@94504051539972.direct.elationemr.com
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.
-
- Behavioral Neurology & Neuropsychiatry Physician
- La Jolla, CA
- NPI 1154864874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594598400000",
"number": "1295197937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 QUARRY RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041419",
"telephone_number": "650-721-4420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 QUARRY RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041419",
"telephone_number": "650-721-4420"
}
],
"practiceLocations": [
{
"address_1": "877 W Fremont Ave Ste J1",
"address_purpose": "LOCATION",
"city": "Sunnyvale",
"state": "CA",
"postal_code": "940872332",
"country_code": "US",
"telephone_number": "650-993-9996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENTZLEY",
"first_name": "BRANDON",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A150851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.