Brian Matthew Swope, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G70553 Issued in CA

Practice address

Brookside Community Health Center
2023 Vale Road, Suite 107
San Pablo, CA 94806-3834

Phone

(510) 231-9800

Fax

(510) 412-9867

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: bswope281143@direct.ochin.org

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659410140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BROOKSIDE COMMUNITY HEALTH CENTER",
            "address_2": "2023 VALE ROAD, SUITE 107",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063834",
            "telephone_number": "510-231-9800",
            "fax_number": "510-412-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROOKSIDE COMMUNITY HEALTH CENTER",
            "address_2": "2023 VALE ROAD, SUITE 107",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063834",
            "telephone_number": "510-231-9800",
            "fax_number": "510-412-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWOPE",
        "first_name": "BRIAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G70553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Stang Su, MD
• Summerville at Cobbco, Inc.
• Farhat S Surti, FNP
• Patricia A Swayne, SUDRC
• Theresa Danielle Sweet
• Jianna Tam, PHARM.D.
• Alayne Elizabeth Taylor
• Ashanti Taylor, MA, AMFT
• Cassandra Taylor
• Adrian George Tedeschi, MD

• Pediatrics Physician in San Pablo, CA
• Providers in San Pablo, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.