Individual provider Active NPI

Brianne Zechlinski Dickey

  • Dermatology Physician
  • Santa Rosa, CA
National Provider Identifier
1760725394
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A150132 Issued in CA
Practice address
2725 Mendocino Ave
Santa Rosa, CA 95403-2805
Phone
(707) 545-4537
Fax
(707) 545-6726
NPI assigned
Apr 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A150132 CA Primary

Addresses

Primary practice location

2725 Mendocino Ave
Santa Rosa, CA 95403-2805

Mailing address

2725 Mendocino Ave
Santa Rosa, CA 95403-2805
Phone (707) 545-4537

Other practice location 1

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 649-3323

Other practice location 2

555 S Dora St Ste B
Ukiah, CA 95482-5424
Phone (707) 463-6996

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171128002291 CA Practitioner - Dermatology 4880913417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Wisconsin, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2725 Mendocino Ave
Santa Rosa, CA 95403-2805
Phone (707) 545-4537

Merit-based Incentive Payment System (MIPS)

Final score
92.97 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision81
Removal of skin lesions1720
Removal or shaving of skin growth1-10
Skin biopsy395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A150132CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Community Health Centers CurrentSince Dec 21, 2024 Accepting new patients
Santa Rosa Community Health Centers CurrentSince Dec 21, 2024 Accepting new patients
Redwood Fam Dermatology Medical Associates - a Medical Corporation Dermatology CurrentSince Sep 1, 2020 Accepting new patients
Santa Rosa Community Health Centers Current Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

3569 Round Barn Cir
Santa Rosa, CA 95403

2725 Mendocino Ave
Santa Rosa, CA 95403
Phone (707) 542-6313

1111 Sonoma Ave
Ste 110
Santa Rosa, CA 95405
Phone (707) 535-0838

555 S Dora St
#B
Ukiah, CA 95482
Phone (707) 462-3993

555 S Dora St
Ukiah, CA 95482
Phone (707) 462-0581

Interoperability endpoints

  • Direct secure messaging: bdickey@rfd.emadirect.md

Organizations & group practices 5

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": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760725394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 MENDOCINO AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032805",
            "telephone_number": "707-545-4537",
            "fax_number": "707-545-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 MENDOCINO AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032805",
            "telephone_number": "707-545-4537",
            "fax_number": "707-545-6726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 W Oklahoma Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532154330",
            "country_code": "US",
            "telephone_number": "414-649-3323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 S Dora St Ste B",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954825424",
            "country_code": "US",
            "telephone_number": "707-463-6996",
            "fax_number": "707-363-3363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "BRIANNE",
        "middle_name": "ZECHLINSKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A150132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.