Danielle Briden, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

007863 Issued in AZ

Practice address

815 E Juan Sanchez Blvd
San Luis, AZ 85336-0477

Phone

(928) 627-8871

NPI assigned

Mar 7, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1720329253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7161 E 25TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853657872",
            "telephone_number": "413-388-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E JUAN SANCHEZ BLVD",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853360477",
            "telephone_number": "928-627-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDEN",
        "first_name": "DANIELLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A13604",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "007863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika O Benitez, FNP-C
• Juan Bernal, GENERAL DENTIST/IMPL
• Prakshep B Bhatt, MD
• Lourens Rasmus Botha
• Luz Marina Bradberry, NP
• Robert L Brooks, MD
• Martha Brown, M.ED.
• Jose Bucio, LPC
• Daniel Anthony Calabrese, MD
• Ramon Carampatan, M.D.

• General Practice Physician in San Luis, AZ
• Providers in San Luis, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.