Bryan Ristow, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A80192 Issued in CA

Practice address

2100 Webster St
Suite 516
San Francisco, CA 94115-2373

Phone

(912) 345-0940

Fax

(415) 441-3253

NPI assigned

Jan 19, 2007

Last updated

Oct 15, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• California Pacific Cardiovascular Medical Group

  • Cardiovascular Disease Physician
  • San Francisco, CA
  • NPI 1295747111
  NPD (past)
• Inpatient Management Medical Group Inc

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1093729915
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1447303565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 516",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "912-345-0940",
            "fax_number": "415-441-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 516",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "912-345-0940",
            "fax_number": "415-441-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTOW",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A80192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444987461A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rising Sun Physical Therapy
• Rising Sun Physical Therapy Inc
• David Williams Rising, D.M.D.
• Julianne Risslen
• Jessica Ristau, M.D.
• Sarah Jean Ristvedt, MD
• Anne Ritchie
• Dismas Ritte
• Kirsten Rittenbach, DDS, MD
• Diane R. Rittenhouse, M.D.

• Internal Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.