Individual provider Active NPI

Tristan Calderon Briones II, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Owensboro, KY
National Provider Identifier
1386673010
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
40170 Issued in KY
Practice address
2780 Frederica Street
Wesleyan Park Plaza
Owensboro, KY 42301
Phone
(270) 926-4100
Fax
(270) 684-4678
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 40170 KY Primary

Addresses

Primary practice location

2780 Frederica Street
Wesleyan Park Plaza
Owensboro, KY 42301

Mailing address

2780 Frederica Street
Wesleyan Park Plaza
Owensboro, KY 42301
Phone (270) 926-4100

Other names 1

  • Dr. Tristan C Briones II Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061222000275 KY Practitioner - Physical Medicine and Rehabilitation 8426058488 Reassigns benefits to 2 organizations
I20090519000506 IN Practitioner - Physical Medicine and Rehabilitation 8426058488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Ponce School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedics and Sports Medicine Owensboro PSCGroup PAC ID 4587623509, 20 clinicians

Practice addresses (Care Compare)

1276 N Plaza Dr
Rockport, IN 47635-9028
Phone (812) 649-2500

2780 Frederica St
Owensboro, KY 42301-5442
Phone (270) 926-4100

Hospital & facility affiliations

  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40170KYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio County Hospital Corporation CurrentSince Aug 1, 2019 Accepting new patients
Orthopaedics & Sports Medicine Owensboro PSC Physical Medicine & Rehabilitation CurrentSince Jan 2, 2024 Accepting new patients
Ohio County Hospital Corporation CurrentSince Aug 1, 2019 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients

Locations

1276 N Plaza Dr
Rockport, IN 47635
Phone (812) 649-2500

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

1215 Old Main St
Hartford, KY 42347
Phone (270) 298-5401

1102 Triplett St
Ste 2100
Owensboro, KY 42303
Phone (270) 685-8235

2780 Frederica St
Owensboro, KY 42301
Phone (270) 926-4100

Interoperability endpoints

  • Direct secure messaging: tristan.briones.1@32846.direct.athenahealth.com
  • Direct secure messaging: tbriones@riverbendpmr.ssdirect.aprima.com
  • Direct secure messaging: tbriones@osmo1976.srs-direct.com

Organizations & group practices 5

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 1

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1386673010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 FREDERICA STREET",
            "address_2": "WESLEYAN PARK PLAZA",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42301",
            "telephone_number": "270-926-4100",
            "fax_number": "270-684-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 FREDERICA STREET",
            "address_2": "WESLEYAN PARK PLAZA",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42301",
            "telephone_number": "270-926-4100",
            "fax_number": "270-684-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIONES",
        "first_name": "TRISTAN",
        "middle_name": "CALDERON",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "40170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISTAN",
            "last_name": "BRIONES",
            "middle_name": "C",
            "prefix": "DR.",
            "suffix": "II",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.