NPIMap

Organization Active NPI

Brian D. Brantner, M.D. a Professional Corporation

  • Medical Specialty Clinic/Center
  • Ventura, CA
National Provider Identifier
1780861443
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
G027037 Issued in CA
Legal business name
BRIAN D. BRANTNER, M.D. A PROFESSIONAL CORPORATION
Practice address
3555 Loma Vista Rd
Suite 200
Ventura, CA 93003-3161
Phone
(805) 653-6765
Fax
(805) 653-1470
NPI assigned
Jan 24, 2008
Last updated
Jul 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Dr. Brian D. Brantner, M.D.
Title
President
Phone
(805) 653-6765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X G027037 CA Primary

Addresses

Primary practice location

3555 Loma Vista Rd
Suite 200
Ventura, CA 93003-3161

Mailing address

3555 Loma Vista Rd
Suite 200
Ventura, CA 93003-3161
Phone (805) 653-6765

Other identifiers 1

IdentifierTypeStateIssuer
G02-7037OtherCAMEDICARE ID- TYPE UNSPECIFIRED

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1780861443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 LOMA VISTA RD",
            "address_2": "SUITE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033161",
            "telephone_number": "805-653-6765",
            "fax_number": "805-653-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 LOMA VISTA RD",
            "address_2": "SUITE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033161",
            "telephone_number": "805-653-6765",
            "fax_number": "805-653-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN D. BRANTNER, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "BRANTNER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-653-6765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G027037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID- TYPE UNSPECIFIRED",
            "identifier": "G02-7037",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.