Calder Bryce Conner, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4301102402 Issued in MI

Practice address

2587 Merced St
San Leandro, CA 94577-4207

Phone

(510) 351-3553

Fax

(510) 351-3585

NPI assigned

May 19, 2006

Last updated

Jul 27, 2023By the provider in NPPES

Sex

Male

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 MI

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 Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adrian Urgent Care PLLC

  • Family Medicine Physician
  • Adrian, MI
  • NPI 1003204769
  Medicare reassignment NPD
• Southgate Urgent Care PC

  • Family Medicine Physician
  • Southgate, MI
  • NPI 1902904436
  Medicare reassignment NPD
• Warren Urgent Care PC

  • Family Medicine Physician
  • Warren, MI
  • NPI 1972503902
  Medicare reassignment NPD
• Rioh Medical Group

  • General Practice Physician
  • Redding, CA
  • NPI 1548205826
  NPD (past) Authorized official
• Woodland Urgent Care LLC

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1841299435
  NPD
• Adrian Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Adrian, MI
  • NPI 1144611633
  NPD (past)
• Southgate Urgent Care PC

  • Urgent Care Clinic/Center
  • Southgate, MI
  • NPI 1790967339
  NPD (past)
• Warren Urgent Care PC

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1255513891
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1770537433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 LEWELLING BLVD",
            "address_2": "SUITE 146-337",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945791870",
            "telephone_number": "510-504-9660",
            "fax_number": "510-351-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2587 MERCED ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774207",
            "telephone_number": "510-351-3553",
            "fax_number": "510-351-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "CALDER",
        "middle_name": "BRYCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G54830",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301102402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyerra Comford
• Community Dental Services (SmileCare Dental Group)
• Community Health Center Network
• Community Mobile Diagnostics LLC (Tridentcare)
• Concentra Health Services, Inc.
• Rachel Connolly
• Ryan Matthew Conrad, PHARMD
• Belen Contreras Cervantes
• Alicia Contreras
• Mary Mapelli Conway, FNP

• Emergency Medicine Physician in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.