Active NPI
Brendan J Carroll, M.D.
- Surgery Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G51142
- Practice address
- 8670 Wilshire Blvd
Ste 203
Beverly Hills, CA 90211-2924 - Phone
- (310) 855-1023
- NPI assigned
- Jul 28, 2006
- Last updated
- Jan 27, 2010
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G51142 | CA | Primary |
Addresses
Primary practice location
8670 Wilshire Blvd
Ste 203
Beverly Hills, CA 90211-2924
Mailing address
8670 Wilshire Blvd
Ste 203
Beverly Hills, CA 90211-2924
Phone (310) 855-1023
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- JS Weill Medical College, Cornell University, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9001 Wilshire Blvd
Suite 304
Beverly Hills, CA 90211-1840
Phone (310) 854-0151
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 32 |
| Hernia repair (minimally invasive) | 33 |
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G51142 | CA | MD | Surgery Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Beverly Hills, CA
- NPI 1992926364
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264550400000",
"number": "1396759981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8670 WILSHIRE BLVD",
"address_2": "STE 203",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112924",
"telephone_number": "310-855-1023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8670 WILSHIRE BLVD",
"address_2": "STE 203",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112924",
"telephone_number": "310-855-1023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "BRENDAN",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2010-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G51142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.