NPIMap

Individual provider Active NPI

Bradford Todd Flagg, M.D.

  • Family Medicine Physician
  • San Ramon, CA
National Provider Identifier
1346323086
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G69417 Issued in CA
Practice address
5601 Norris Canyon Rd
Suite 230
San Ramon, CA 94583
Phone
(925) 277-1600
Fax
(925) 277-1601
NPI assigned
Oct 24, 2006
Last updated
Nov 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G69417 CA Primary

Addresses

Primary practice location

5601 Norris Canyon Rd
Suite 230
San Ramon, CA 94583

Mailing address

5601 Norris Canyon Rd
Suite 230
San Ramon, CA 94583
Phone (925) 277-1600

Other practice location 1

4165 Blackhawk Plaza Cir Ste 265
Danville, CA 94506-4691
Phone (925) 648-7144

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
I20090813000654 CA Practitioner - Family Practice 6800940651 Reassigns benefits to 1 organization
Practice locations: Danville, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Southern California Keck School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians

Practice addresses (Care Compare)

4165 Blackhawk Plaza Cir
Suite 265
Danville, CA 94506-4691
Phone (925) 648-7140

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Physician Network CurrentSince Jan 6, 2020 Accepting new patients
Bass Medical Group Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients

Locations

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

4165 Blackhawk Plaza Cir
Ste 265
Danville, CA 94506
Phone (925) 648-7140

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597

Interoperability endpoints

  • Direct secure messaging: bflagg131046@ehr.johnmuirhealth.com

Organizations & group practices 3

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 7

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1346323086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 NORRIS CANYON RD",
            "address_2": "SUITE 230",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94583",
            "telephone_number": "925-277-1600",
            "fax_number": "925-277-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 NORRIS CANYON RD",
            "address_2": "SUITE 230",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94583",
            "telephone_number": "925-277-1600",
            "fax_number": "925-277-1601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4165 Blackhawk Plaza Cir Ste 265",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "CA",
            "postal_code": "945064691",
            "country_code": "US",
            "telephone_number": "925-648-7144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLAGG",
        "first_name": "BRADFORD",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G69417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.