Individual provider Active NPI

Brian S Bobick, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Oceanside, CA
National Provider Identifier
1639156771
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4564 Issued in CA
Practice address
3905 Waring Rd
Oceanside, CA 92056-4405
Phone
(760) 724-9000
Fax
(760) 724-5265
NPI assigned
Dec 29, 2005
Last updated
Oct 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4564 CA
Foot & Ankle Surgery Podiatrist 213ES0103X E4564 CA Primary

Addresses

Primary practice location

3905 Waring Rd
Oceanside, CA 92056-4405

Mailing address

3905 Waring Rd
Oceanside, CA 92056-4405
Phone (760) 724-9000

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050726001239 CA Practitioner - Podiatry 2961430459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-City Orthopaedic Surgery Medical Group Inc.Group PAC ID 1153388434, 24 clinicians

Practice addresses (Care Compare)

3905 Waring Rd
Oceanside, CA 92056-4405
Phone (760) 724-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue17
Removal of skin lesions1-10
Removal of nail tissue75
Removal or shaving of skin growth42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4564CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri City Orthopaedic Surgery Medical Group Inc CurrentSince Apr 1, 2011 Accepting new patients
Tri-City Orthopaedic Surgery Medical Group Inc CurrentSince Apr 1, 2011 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Past Accepting new patients

Locations

6121 Paseo del Norte
Ste 200
Carlsbad, CA 92011
Phone (760) 724-9000

3905 Waring Rd
Oceanside, CA 92056
Phone (760) 477-1350

3998 Vista Way
Ste B
Oceanside, CA 92056
Phone (760) 724-5173

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bbobick@osnc2021.srs-direct.com
  • Direct secure messaging: bbobick32071@scrippshlth.medalliesdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1639156771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 WARING RD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564405",
            "telephone_number": "760-724-9000",
            "fax_number": "760-724-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 WARING RD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564405",
            "telephone_number": "760-724-9000",
            "fax_number": "760-724-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBICK",
        "first_name": "BRIAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4564",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.