Active NPI
Joel H Brandt, M.D.
- Adult Medicine Physician
- Santa Barbara, CA
National Provider Identifier
1609937374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- C34416
- Practice address
- 1809 Cliff Dr
B
Santa Barbara, CA 93109-1641 - Phone
- (805) 966-7159
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | C34416 | CA | Primary |
Addresses
Primary practice location
1809 Cliff Dr
B
Santa Barbara, CA 93109-1641
Mailing address
1809 Cliff Dr
B
Santa Barbara, CA 93109-1641
Phone (805) 966-7159
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110110000890 | CA | Practitioner - Family Practice | 2567651383 | Practice locations: Santa Barbara, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C34416 | CA | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273536000000",
"number": "1609937374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 CLIFF DR",
"address_2": "B",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931091641",
"telephone_number": "805-966-7159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 CLIFF DR",
"address_2": "B",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931091641",
"telephone_number": "805-966-7159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDT",
"first_name": "JOEL",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2010-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "C34416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.