Active NPI
Cory Lynne Brame MD Inc
- Ophthalmology Physician
- Newport Beach, CA
National Provider Identifier
1699884411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A74973
- Legal business name
- CORY LYNNE BRAME MD INC
- Practice address
- 360 San Miguel Dr
Suite 307
Newport Beach, CA 92660-7853 - Phone
- (949) 721-0800
- Fax
- (949) 721-9676
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cory Lynne Brame, M.D.
- Title
- President
- Phone
- (949) 721-0800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A74973 | CA | Primary |
Addresses
Primary practice location
360 San Miguel Dr
Suite 307
Newport Beach, CA 92660-7853
Mailing address
360 San Miguel Dr
Suite 307
Newport Beach, CA 92660-7853
Phone (949) 721-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
220 Newport Center Dr
Ste 11
Newport Beach, CA 92660
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Newport Beach, CA
- NPI 1821093311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424995200000",
"number": "1699884411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 SAN MIGUEL DR",
"address_2": "SUITE 307",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607853",
"telephone_number": "949-721-0800",
"fax_number": "949-721-9676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 SAN MIGUEL DR",
"address_2": "SUITE 307",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607853",
"telephone_number": "949-721-0800",
"fax_number": "949-721-9676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORY LYNNE BRAME MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2015-02-27",
"status": "A",
"authorized_official_last_name": "BRAME",
"authorized_official_first_name": "CORY",
"authorized_official_middle_name": "LYNNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-721-0800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": "A74973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.