Organization Active NPI

BC Medical, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Newport Beach, CA
National Provider Identifier
1578276556
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
BC MEDICAL, LLC
Practice address
20331 Irvine Ave Ste E2
Newport Beach, CA 92660-0223
Phone
(619) 200-4140
NPI assigned
Jan 4, 2023
Last updated
Jan 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Brian Brady
Title
Owner
Phone
(619) 200-4140

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Orthopaedic Surgery of the Spine Physician 207XS0117X NU Primary

Addresses

Primary practice location

20331 Irvine Ave Ste E2
Newport Beach, CA 92660-0223

Mailing address

20331 Irvine Ave Ste E2
Newport Beach, CA 92660-0223
Phone (619) 200-4140

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bbrady@gulfstreammp.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1578276556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20331 IRVINE AVE STE E2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600223",
            "telephone_number": "619-200-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20331 IRVINE AVE STE E2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600223",
            "telephone_number": "619-200-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BC MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-200-4140"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbrady@gulfstreammp.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20331 Irvine Ave Ste E2",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926600223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.