NPIMap

Individual provider Active NPI

Jenna Joelle Brimmer, M.D.

  • Internal Medicine Physician
  • Alameda, CA
National Provider Identifier
1295703775
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A81625 Issued in CA
Practice address
501 S Shore Ctr W
Suite 103F
Alameda, CA 94501-5762
Phone
(530) 814-4630
Fax
(530) 814-4644
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A81625 CA Primary

Addresses

Primary practice location

501 S Shore Ctr W
Suite 103F
Alameda, CA 94501-5762

Mailing address

501 S Shore Ctr W
Suite 103F
Alameda, CA 94501-5762
Phone (530) 814-4630

Other names 1

  • Dr. Jenna Beech Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050303000512 CA Practitioner - Internal Medicine 2466406384 Reassigns benefits to 1 organization
Practice locations: Alameda, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Davis School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

815 Atlantic Ave
Suite 100
Alameda, CA 94501-2298
Phone (510) 535-7434

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1155
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81625CAMDClinical Social Worker
A81625CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince May 1, 2014 Accepting new patients
Alameda Health System CurrentSince May 1, 2014 Accepting new patients
Inpatient Consultants of California, Inc. Internal Medicine PastSince Oct 1, 2002 Accepting new patients
Inpatient Consultants of California, Inc Internal Medicine Past Accepting new patients
Crystal Terry Past Accepting new patients

Locations

501 S Shore Ctr W
Ste 103F
Alameda, CA 94501
Phone (510) 749-4909

2070 Clinton Ave
Ste 2113
Alameda, CA 94501
Phone (510) 522-3700

815 Atlantic Ave
Ste 100
Alameda, CA 94501
Phone (510) 522-6637

501 S Shore Ctr W
Ste F
Alameda, CA 94501
Phone (510) 814-4000

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jbrimmer14067@alamedahs.direct-ci.com
  • Direct secure messaging: jbrimmer242893@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 11

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1295703775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S SHORE CTR W",
            "address_2": "SUITE 103F",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015762",
            "telephone_number": "530-814-4630",
            "fax_number": "530-814-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SHORE CTR W",
            "address_2": "SUITE 103F",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015762",
            "telephone_number": "530-814-4630",
            "fax_number": "530-814-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIMMER",
        "first_name": "JENNA",
        "middle_name": "JOELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A81625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "BEECH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.