Individual provider Active NPI

William Herbert Brown III, M.D.

  • Surgery Physician
  • Fremont, CA
National Provider Identifier
1457394926
Registry record updated Jan 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G46351 Issued in CA
Practice address
39470 Paseo Padre Pkwy
Fremont, CA 94538-2310
Phone
(510) 793-2404
Fax
(510) 793-1320
NPI assigned
Jun 13, 2006
Last updated
Jan 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G46351 CA Primary

Addresses

Primary practice location

39470 Paseo Padre Pkwy
Fremont, CA 94538-2310

Mailing address

1032 Canada Rd
Woodside, CA 94062-3507
Phone (650) 703-9694

Other identifiers 1

IdentifierTypeStateIssuer
G46751OtherCACALIFORNIA MEDICAL LICENS

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
I20051014000871 CA Practitioner - General Surgery 6204852650

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
William H. Brown M.D. Inc. Surgery CurrentSince Jun 10, 2007 Accepting new patients

Locations

39470 Paseo Padre Pkwy
Fremont, CA 94538
Phone (510) 590-7727

39470 Paseo Padre Pkwy
Ste 2
Fremont, CA 94538
Phone (510) 793-2404

556 Mowry Ave
Ste 100
Fremont, CA 94536
Phone (510) 793-2404

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705104000000",
    "number": "1457394926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 CANADA RD",
            "city": "WOODSIDE",
            "state": "CA",
            "postal_code": "940623507",
            "telephone_number": "650-703-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39470 PASEO PADRE PKWY",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382310",
            "telephone_number": "510-793-2404",
            "fax_number": "510-793-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "WILLIAM",
        "middle_name": "HERBERT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-01-13",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G46351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LICENS",
            "identifier": "G46751",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.