Individual provider Active NPI

Bradley Norman Sirois, O.D.

  • Optometrist
  • Hemet, CA
National Provider Identifier
1669457347
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 11748 TPA Issued in CA
Practice address
41705 E Florida Ave
Hemet, CA 92544-4948
Phone
(951) 652-2020
Fax
(951) 766-4933
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 11748 TPA CA Primary

Addresses

Primary practice location

41705 E Florida Ave
Hemet, CA 92544-4948

Mailing address

41705 E Florida Ave
Hemet, CA 92544-4948
Phone (951) 652-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 11748 TPACAMDOptometrist
11748CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven J. Simpson, OD Optometrist Past Accepting new patients
Steven J Simpson O D and Bradley N Sirois O D PTRS Optometrist Past Accepting new patients
Steven J. Simpson OD & Thomas R. Scruggs OD Optometrist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1669457347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41705 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444948",
            "telephone_number": "951-652-2020",
            "fax_number": "951-766-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41705 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444948",
            "telephone_number": "951-652-2020",
            "fax_number": "951-766-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROIS",
        "first_name": "BRADLEY",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 11748 TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.