Brian Scott Ford, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M1930 Issued in GU

Practice address

50 Farenholt Ave
Tamuning, GU 96913-3106

Phone

(671) 929-1139

NPI assigned

Jun 15, 2012

Last updated

Apr 6, 2016By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1558623447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 490",
            "address_2": "BOX 7638",
            "city": "FPO",
            "state": "AP",
            "postal_code": "965380490",
            "telephone_number": "671-344-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FARENHOLT AVE",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133106",
            "telephone_number": "671-929-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101255199",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GU",
            "license": "M1930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Gregory Fleming, M.D.
• Florencio T. Lizama
• Lisa Denise Flores, M.D.
• Eric J. Fly, PA-C
• Milliecor Itugot Fojas, M.D.
• Samuel Friedman, M.D.
• Carolyn L. Mendiola Fruge, MSN. AGNP
• Gerren Christopher Gabriel
• Mildred Maniago Gabriel, RPH
• Renato C. Gahol, M.D.

• Family Medicine Physician in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Family Medicine Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.