Active NPI
Warren Frank Brandle, M.D.
- Family Medicine Physician
- Gold River, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 658031
- Practice address
- 11226 Gold Express Dr
#205
Gold River, CA 95670-4411 - Phone
- (916) 638-2800
- Fax
- (916) 638-2830
- NPI assigned
- Mar 27, 2006
- 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 | 658031 | CA | Primary |
Addresses
Primary practice location
11226 Gold Express Dr
#205
Gold River, CA 95670-4411
Mailing address
11226 Gold Express Drive
#205
Gold River, CA 95670-4411
Phone (916) 638-2800
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090107000539 | CA | Practitioner - Family Practice | 7719040484 |
Receives reassigned benefits from 1 practitioner Practice locations: Gold River, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, Davis School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
11226 Gold Express Dr
Suite 205
Gold River, CA 95670-4411
Phone (916) 638-2800
Hospital & facility affiliations
- Prohealth Home Care, Inc
- Mercy Home Health
- Healing Touch Home Health Care Inc
- Mercy General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 83 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 658031 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilt Medical Group, a Professional Medical Corporation | Family Medicine | Current | Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Hill Physicians Medical Group - PPO Program | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients |
Locations
11226 Gold Express Dr
Ste 205
Gold River, CA 95670
Phone (916) 638-2800
Interoperability endpoints
- wbrandle15333@hpmg.direct-ci.net
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Organizations & group practices 4
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
- Gold River, CA
- NPI 1659208858
Family Medicine
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
-
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
-
- Preferred Provider Organization
- San Ramon, CA
- NPI 1679011035
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rancho Cordova, CA
- NPI 1437196813
-
- Home Health Agency
- Rancho Cordova, CA
- NPI 1962957720
-
- Home Health Agency
- Sacramento, CA
- NPI 1215375175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1790745263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11226 GOLD EXPRESS DRIVE",
"address_2": "#205",
"city": "GOLD RIVER",
"state": "CA",
"postal_code": "956704411",
"telephone_number": "916-638-2800",
"fax_number": "916-382-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11226 GOLD EXPRESS DR",
"address_2": "#205",
"city": "GOLD RIVER",
"state": "CA",
"postal_code": "956704411",
"telephone_number": "916-638-2800",
"fax_number": "916-638-2830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDLE",
"first_name": "WARREN",
"middle_name": "FRANK",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "658031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gold River, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.