Barry Lee Brisco, CNIM, R.EEG T.

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

450 Stanyan St
San Francisco, CA 94117-1019

Phone

(800) 305-6234

NPI assigned

Feb 23, 2011

Last updated

Jul 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1609173962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 TARRYTOWN ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023821",
            "telephone_number": "650-346-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 STANYAN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171019",
            "telephone_number": "800-305-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISCO",
        "first_name": "BARRY",
        "middle_name": "LEE",
        "credential": "CNIM, R.EEG T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-23",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.EEG T.",
            "identifier": "1126",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNIM",
            "identifier": "2099",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Anne Lodevico Briones
• Claudia Allison Briones
• Jorge Briones Jr., PHARM.D.
• Karina Briones, PHARMD
• Christine Brischer, O.D.
• Heather Leah Briscoe, HEATHER BRISCOE
• Catherine Brisebois, MSW
• Daniel Paul Brissenden
• Miranda J Bristol
• Rosita Jamil Bristol

• Electroneurodiagnostic Specialist/Technologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Electroneurodiagnostic Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.