Organization Active NPI

Brandeismd

  • Urology Physician
  • San Ramon, CA
National Provider Identifier
1700463189
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
BRANDEISMD
Practice address
100 Park PL Ste 140
San Ramon, CA 94583-4460
Phone
(925) 255-7867
NPI assigned
Mar 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Dr. Judson Brandeis, MD
Title
Owner
Phone
(925) 255-7867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

100 Park PL Ste 140
San Ramon, CA 94583-4460

Mailing address

100 Park PL Ste 140
San Ramon, CA 94583-4460
Phone (925) 255-7867

National Provider Directory

National Provider Directory

Locations

100 Park Pl
Ste 140
San Ramon, CA 94583
Phone (925) 255-7867

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1700463189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK PL STE 140",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834460",
            "telephone_number": "925-255-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK PL STE 140",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834460",
            "telephone_number": "925-255-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDEISMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "BRANDEIS",
        "authorized_official_first_name": "JUDSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-255-7867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.