Individual provider Active NPI

Bret Christopher Powers, D.O.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Corona, CA
National Provider Identifier
1457377202
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
20A9577 Issued in CA
Practice address
802 Magnolia Ave
Suite 106
Corona, CA 92879-3104
Phone
(951) 270-0882
Fax
(951) 270-0888
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 20A9577 CA Primary

Addresses

Primary practice location

802 Magnolia Ave
Suite 106
Corona, CA 92879-3104

Mailing address

PO Box 1007
Murrieta, CA 92564-1007
Phone (951) 696-9061

Other identifiers 1

IdentifierTypeStateIssuer
20A9577OtherCALICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070828000988 CA Practitioner - Orthopedic Surgery 3173615622 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
De Anza Orthopedic Medical Group IncGroup PAC ID 9739481375, 18 clinicians

Practice addresses (Care Compare)

1901 W Lugonia Ave
Redlands, CA 92374-9703
Phone (909) 557-1600

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4000

4234 Riverwalk Pkwy
Suite 200
Riverside, CA 92505-3312
Phone (951) 977-2500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)11
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9577CAMDCase Manager/Care Coordinator
20A9577CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside Current Accepting new patients
De Anza Orthopedic Medical Group, Inc. Orthopaedic Surgery CurrentSince Oct 1, 2015 Accepting new patients
County of Riverside CurrentSince Apr 1, 2021 Accepting new patients
County of Riverside CurrentSince Apr 1, 2021 Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. Orthopaedic Surgery Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
University of California Irvine Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Dignity Health Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients

Locations

26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610

26520 Cactus Ave
Ste B2042
Moreno Valley, CA 92555

26600 Cactus Ave
Fl 2
Moreno Valley, CA 92555

308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bpowers101035@direct.llu.edu

Organizations & group practices 15

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.

View all 15

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1457377202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1007",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925641007",
            "telephone_number": "951-696-9061",
            "fax_number": "951-696-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MAGNOLIA AVE",
            "address_2": "SUITE 106",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793104",
            "telephone_number": "951-270-0882",
            "fax_number": "951-270-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "BRET",
        "middle_name": "CHRISTOPHER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "20A9577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "20A9577",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.