Active NPI
Brian Hancock, MD
- Family Medicine Physician
- Grants Pass, OR
National Provider Identifier
1720088693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD17445
- Practice address
- 841 NE 7TH St
Grants Pass, OR 97526 - Phone
- (541) 474-2721
- Fax
- (541) 474-0056
- NPI assigned
- Jul 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD17445 | OR | Primary |
Addresses
Primary practice location
841 NE 7TH St
Grants Pass, OR 97526
Mailing address
841 NE 7TH St
Grants Pass, OR 97526-1634
Phone (541) 474-2721
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034301 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040602001528 | OR | Practitioner - Family Practice | 2062494156 | Practice locations: Grants Pass, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
841 NE 7TH St
Grants Pass, OR 97526-1634
Phone (541) 474-2721
Hospital & facility affiliations
- Assured Home Health
- Accentcare Home Health of Rogue Valley, LLC
- Asante Three Rivers Medical Center
- Asante Rogue Regional Medical Center
- Mercy Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 105 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17445 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Discovery | Past | Accepting new patients | |
| Brian Hancock MD | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Grants Pass, OR
- NPI 1083885016
-
- Chiropractor
- Grants Pass, OR
- NPI 1134323751
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Medford, OR
- NPI 1912228727
-
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
-
- General Acute Care Hospital
- Roseburg, OR
- NPI 1477590198
-
- Home Health Agency
- Grants Pass, OR
- NPI 1396977393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530576000000",
"number": "1720088693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 NE 7TH ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261634",
"telephone_number": "541-474-2721",
"fax_number": "541-474-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 NE 7TH ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "97526",
"telephone_number": "541-474-2721",
"fax_number": "541-474-0056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2018-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD17445",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034301",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.