Individual provider Active NPI

Herbert Charles Bazron Jr., MD

  • Internal Medicine Physician
  • Napa, CA
National Provider Identifier
1609803048
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G159334 Issued in CA
Practice address
1100 Trancas St Ste 201
Napa, CA 94558-2904
Phone
(707) 703-4863
Fax
(707) 257-4116
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD034000E PA
Internal Medicine Physician 207R00000X G159334 CA Primary

Addresses

Primary practice location

1100 Trancas St Ste 201
Napa, CA 94558-2904

Mailing address

1100 Trancas St Ste 201
Napa, CA 94558-2904
Phone (707) 703-4863

Other practice location 1

224 Penn Ave
Suite B
Wilkinsburg, PA 15221-2154
Phone (412) 241-1111

Other identifiers 1

IdentifierTypeStateIssuer
0010868320001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hbazron1657478@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050825000366 PA Practitioner - Internal Medicine 3476584855 Reassigns benefits to 1 organization
I20201023000528 CA Practitioner - Internal Medicine 3476584855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pittsburgh School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1100 Trancas St
Suite 201
Napa, CA 94558-2904
Phone (707) 251-1867

Hospital & facility affiliations

  • Providence at Home With Compassus Home Health, Napa Valley Home health agency, Napa, CA, CCN 057659
  • Athome Healthcare Team, LLC Home health agency, American Canyon, CA, CCN 059644
  • Accentcare Home Health of California, Inc Home health agency, San Ramon, CA, CCN 057517
  • Bridge Home Health Home health agency, Petaluma, CA, CCN 559097
  • Gateway Home Health Corp. Home health agency, San Ramon, CA, CCN 053129
  • Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G159334CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc Internal Medicine CurrentSince Sep 1, 2007 Accepting new patients
Upmc Community Medcine Inc CurrentSince Sep 1, 2007 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Oct 19, 2020 Accepting new patients
Providence Medical Foundation CurrentSince Oct 19, 2020 Accepting new patients
Upmc Community Medicine, Inc Internal Medicine Current Accepting new patients
Upmc Presbyterian Shadyside Past Accepting new patients
Upmc Presby Shadyside Past Accepting new patients
Upmc East Past Accepting new patients
Upmc Mercy Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

1100 Trancas St
Ste 201
Napa, CA 94558
Phone (707) 251-1867

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

Organizations & group practices 12

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.

Hospital & facility affiliations 7

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1609803048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 TRANCAS ST STE 201",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582904",
            "telephone_number": "707-703-4863",
            "fax_number": "707-257-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TRANCAS ST STE 201",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582904",
            "telephone_number": "707-703-4863",
            "fax_number": "707-257-4116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 Penn Ave",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Wilkinsburg",
            "state": "PA",
            "postal_code": "152212154",
            "country_code": "US",
            "telephone_number": "412-241-1111",
            "fax_number": "412-242-9243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAZRON",
        "first_name": "HERBERT",
        "middle_name": "CHARLES",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD034000E",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G159334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010868320001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hbazron1657478@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1100 Trancas St Ste 201",
            "city": "Napa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945582904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.