Active NPI
Donald Richard Brophy III, D.C,
- Internist Chiropractor
- Antioch, CA
National Provider Identifier
1821098336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- 15826
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0158260 | Medicaid | CA | |
| T76484 | Other | CA | HILL PHYSICIANS |
Other names 1
- Richard Brophy III
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
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
-
- Rehabilitation Hospital Unit
- Canton, OH
- NPI 1740222009
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.