Organization Active NPI

Brien a Seeley M.D., Inc

  • Ophthalmology Physician
  • Santa Rosa, CA
National Provider Identifier
1366622383
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G27860 Issued in CA
Legal business name
BRIEN A SEELEY M.D., INC
Practice address
4739 Hoen Ave
Santa Rosa, CA 95405-7862
Phone
(707) 544-2720
Fax
(707) 544-2734
NPI assigned
Nov 7, 2007
Organization subpart
Yes
Parent organization
BRIEN A SEELEYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. Brien A Seeley, M.D.NPI 1972566842
Title
President
Phone
(707) 544-2720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G27860 CA Primary

Addresses

Primary practice location

4739 Hoen Ave
Santa Rosa, CA 95405-7862

Mailing address

4739 Hoen Ave
Santa Rosa, CA 95405-7862
Phone (707) 544-2720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071217000437 CA Part B Supplier - Clinic/Group Practice 2466542220 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Rosa, CA

National Provider Directory

National Provider Directory
Part of
Brien a Seeley MD Inc

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1366622383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4739 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057862",
            "telephone_number": "707-544-2720",
            "fax_number": "707-544-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4739 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057862",
            "telephone_number": "707-544-2720",
            "fax_number": "707-544-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIEN A SEELEY M.D., INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIEN A SEELEY",
        "enumeration_date": "2007-11-07",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "SEELEY",
        "authorized_official_first_name": "BRIEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-544-2720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G27860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.