Individual provider Active NPI

Braden Michael McKnight, MD

  • Orthopaedic Surgery Physician
  • San Diego, CA
National Provider Identifier
1366983587
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A162195 Issued in CA
Practice address
5643 Copley Dr Ste 300
San Diego, CA 92111-7903
Phone
(858) 455-9942
Fax
(858) 455-6473
NPI assigned
Mar 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X A162195 CA
Orthopaedic Surgery Physician 207X00000X A162195 CA Primary

Addresses

Primary practice location

5643 Copley Dr Ste 300
San Diego, CA 92111-7903

Mailing address

5643 Copley Dr Ste 300
San Diego, CA 92111-7903
Phone (858) 455-9942

Other practice location 1

230 Prospect Pl Ste 230
Coronado, CA 92118-1976
Phone (858) 455-9942

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230918003017 CA Practitioner - Orthopedic Surgery 0749697365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Southern California Keck School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortho 1 Medical GroupGroup PAC ID 0042619876, 18 clinicians

Practice addresses (Care Compare)

5643 Copley Dr
Suite 300
San Diego, CA 92111-7903
Phone (858) 455-9942

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion62
Laminectomy or laminotomy (partial removal of spine bones)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A162195CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho 1 Medical Group Orthopaedic Surgery CurrentSince Aug 1, 2023 Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

765 Medical Center Ct
Ste 210
Chula Vista, CA 91911
Phone (619) 482-3090

9834 Genesee Ave
Ste 228
La Jolla, CA 92037
Phone (858) 455-9942

5643 Copley Dr
Ste 300
San Diego, CA 92111
Phone (858) 455-9942

230 Prospect Pl
Ste 230
San Diego, CA 92118
Phone (619) 435-7282

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1366983587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5643 COPLEY DR STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921117903",
            "telephone_number": "858-455-9942",
            "fax_number": "858-455-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5643 COPLEY DR STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921117903",
            "telephone_number": "858-455-9942",
            "fax_number": "858-455-6473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Prospect Pl Ste 230",
            "address_purpose": "LOCATION",
            "city": "Coronado",
            "state": "CA",
            "postal_code": "921181976",
            "country_code": "US",
            "telephone_number": "858-455-9942",
            "fax_number": "858-455-6473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "BRADEN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A162195",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A162195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.