Individual provider Active NPI

Brian Scott Winfield, PA-C

  • Surgical Physician Assistant
  • Newark, DE
National Provider Identifier
1295827053
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
C5-0000532 Issued in CT
Practice address
774 Christiana Rd
Suite 202
Newark, DE 19713-4236
Phone
(302) 366-7671
Fax
(302) 366-7549
NPI assigned
Sep 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X C5-0000532 CT Primary

Addresses

Primary practice location

774 Christiana Rd
Suite 202
Newark, DE 19713-4236

Mailing address

28 Servan CT
Wilmington, DE 19805-2945
Phone (302) 351-4259

Other identifiers 1

IdentifierTypeStateIssuer
1000039681MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060327000577 DE Practitioner - Physician Assistant 2163320854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Center for Digestive Care LLCGroup PAC ID 5890089353, 68 clinicians

Practice addresses (Care Compare)

4745 Ogletown Stanton Rd
Newark, DE 19713-2074
Phone (302) 738-5300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0000532CTMDSurgical Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295827053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SERVAN CT",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052945",
            "telephone_number": "302-351-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD",
            "address_2": "SUITE 202",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134236",
            "telephone_number": "302-366-7671",
            "fax_number": "302-366-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINFIELD",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "C5-0000532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000039681",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.