Corwin Hill Brink, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G079196 Issued in CA

Practice address

330 S Fairmont Ave Ste 3
Lodi, CA 95240-3843

Phone

(209) 327-3102

Fax

(209) 290-3258

NPI assigned

Aug 30, 2006

Last updated

Dec 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Corey H Brink Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 18, 2013 through Jul 18, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/e0d732aa-1d5c-42bf-b672-8fabe3feb437/

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.

• Inland Psychiatric Offices

  • Social Worker
  • Stockton, CA
  • NPI 1376668053
  NPD (past)
• Touro University Medical Group

  • Multi-Specialty Clinic/Center
  • Stockton, CA
  • NPI 1215573613

  Psychiatry

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1356451793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 SAINT ANTON DR",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952429162",
            "telephone_number": "209-327-3102",
            "fax_number": "209-290-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S FAIRMONT AVE STE 3",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403843",
            "telephone_number": "209-327-3102",
            "fax_number": "209-290-3258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 University Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958256724",
            "country_code": "US",
            "telephone_number": "916-349-7056",
            "fax_number": "209-290-3258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINK",
        "first_name": "CORWIN",
        "middle_name": "HILL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G079196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COREY",
            "last_name": "BRINK",
            "middle_name": "H",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cory Brauer, RNFA
• Beverly M Breakey, LMFT
• Lavaughan Breakfield, PT
• Eleanor Brewer, OTR/L
• Lynnette Brewer
• Daisy Briseno, FNP
• Rosemary Ann Brixie, FAMILY NURSE PRACTIT
• Steven Farrel Brizendine, DDS,MS
• Brody Bay Healthcare, Inc.
• Adrien Robin Trent Brooks, PT, DPT

• Psychiatry Physician in Lodi, CA
• Providers in Lodi, CA by specialty
• Psychiatry Physician in California

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.