Active NPI
George Washington Brownridge II, DENTIST
- Oral and Maxillofacial Surgery (Dentist)
- Chico, CA
National Provider Identifier
1376762898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 24436
- Practice address
- 2525 Ceanothus Ave
Chico, CA 95973-7611 - Phone
- (530) 343-1685
- Fax
- (530) 343-6365
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 24436 | CA | Primary |
Addresses
Primary practice location
2525 Ceanothus Ave
Chico, CA 95973-7611
Mailing address
2525 Ceanothus Ave
Chico, CA 95973-7611
Phone (530) 343-1685
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 1, 2016 through Aug 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409270400000",
"number": "1376762898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 CEANOTHUS AVE",
"city": "CHICO",
"state": "CA",
"postal_code": "959737611",
"telephone_number": "530-343-1685",
"fax_number": "530-343-6365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 CEANOTHUS AVE",
"city": "CHICO",
"state": "CA",
"postal_code": "959737611",
"telephone_number": "530-343-1685",
"fax_number": "530-343-6365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWNRIDGE",
"first_name": "GEORGE",
"middle_name": "WASHINGTON",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DENTIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2014-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "24436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.