Individual provider Active NPI

Donald Richard Brophy III, D.C,

  • Internist Chiropractor
  • Antioch, CA
National Provider Identifier
1821098336
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
15826 Issued in CA
Practice address
3731 Sunset LN
Suite 102
Antioch, CA 94509-6127
Phone
(925) 754-6780
Fax
(925) 754-6915
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 15826 CA Primary
Occupational Health Chiropractor 111NX0100X 15826 CA
Orthopedic Chiropractor 111NX0800X 15826 CA

Addresses

Primary practice location

3731 Sunset LN
Suite 102
Antioch, CA 94509-6127

Mailing address

3731 Sunset LN
Suite 102
Antioch, CA 94509-6127
Phone (925) 754-6780

Other identifiers 2

IdentifierTypeStateIssuer
DC0158260MedicaidCA
T76484OtherCAHILL PHYSICIANS

Other names 1

  • Richard Brophy III Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aultman Hospital Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Organizations & group practices 2

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1821098336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 SUNSET LN",
            "address_2": "SUITE 102",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096127",
            "telephone_number": "925-754-6780",
            "fax_number": "925-754-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 SUNSET LN",
            "address_2": "SUITE 102",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096127",
            "telephone_number": "925-754-6780",
            "fax_number": "925-754-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROPHY",
        "first_name": "DONALD",
        "middle_name": "RICHARD",
        "name_suffix": "III",
        "credential": "D.C,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "CA",
            "license": "15826",
            "primary": true
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "CA",
            "license": "15826",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "15826",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0158260",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HILL PHYSICIANS",
            "identifier": "T76484",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "BROPHY",
            "suffix": "III",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.