Individual provider Active NPI

George Washington Brownridge II, DENTIST

  • Oral and Maxillofacial Surgery (Dentist)
  • Chico, CA
National Provider Identifier
1376762898
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
24436 Issued in CA
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

Updated by the provider on Aug 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

Verify at the official NPI Registry.