Individual provider Active NPI

Alex David Friedman, PA-C

  • Surgical Physician Assistant
  • Greenbrae, CA
National Provider Identifier
1376967653
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
51418 Issued in CA
Practice address
575 Sir Francis Drake Blvd Ste 1
Greenbrae, CA 94904-2307
Phone
(415) 625-3230
NPI assigned
Feb 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA.0008275 CO
Surgical Physician Assistant 363AS0400X PA18062 TX
Surgical Physician Assistant 363AS0400X 51418 CA Primary

Addresses

Primary practice location

575 Sir Francis Drake Blvd Ste 1
Greenbrae, CA 94904-2307

Mailing address

575 Sir Francis Drake Blvd Ste 1
Greenbrae, CA 94904-2307
Phone (415) 625-3230

Other practice location 1

4407 Bee Caves Rd Ste 612
West Lake Hills, TX 78746-5285
Phone (512) 553-4524

Other practice location 2

5495 Arapahoe Ave Ste 200
Boulder, CO 80303-1225
Phone (303) 381-2909

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: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
51418CAMDPhysical Therapy Assistant
PA.0008275COMDSurgical Physician Assistant
PA18062TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brownstein & Crane Surgical Services CurrentSince May 25, 2025 Accepting new patients

Locations

575 Sir Francis Drake Blvd
Ste 1
Greenbrae, CA 94904
Phone (415) 625-3230

4407 Bee Caves Rd
Ste 612
West Lake Hills, TX 78746
Phone (512) 446-9486

Interoperability endpoints

  • Direct secure messaging: afriedman186928@hisp.ehr.sutterhealth.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1376967653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 SIR FRANCIS DRAKE BLVD STE 1",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042307",
            "telephone_number": "415-625-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 SIR FRANCIS DRAKE BLVD STE 1",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042307",
            "telephone_number": "415-625-3230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4407 Bee Caves Rd Ste 612",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787465285",
            "country_code": "US",
            "telephone_number": "512-553-4524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5495 Arapahoe Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803031225",
            "country_code": "US",
            "telephone_number": "303-381-2909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "ALEX",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-07",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0008275",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA18062",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "51418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

Verify at the official NPI Registry.