Individual provider Active NPI

Warren Frank Brandle, M.D.

  • Family Medicine Physician
  • Gold River, CA
National Provider Identifier
1790745263
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
658031 Issued in CA
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

Updated by the provider on Mar 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Home health agency, Sacramento, CA, CCN 059764
  • Mercy Home Health Home health agency, Rancho Cordova, CA, CCN 057631
  • Healing Touch Home Health Care Inc Home health agency, Rancho Cordova, CA, CCN 553195
  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions83
Removal or shaving of skin growth1-10
Skin biopsy22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
658031CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.