Individual provider Active NPI

Brainard Monroe Burrus II, MD

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
National Provider Identifier
1831776889
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
924 Westwood Blvd Ste 300
Los Angeles, CA 90024-2924
Phone
(310) 794-0785
NPI assigned
Mar 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

924 Westwood Blvd Ste 300
Los Angeles, CA 90024-2924

Mailing address

924 Westwood Blvd Ste 300
Los Angeles, CA 90024-2924
Phone (310) 794-0785

Other practice location 1

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1111

Other practice location 2

123 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 771-3545

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
I20250804003889 CA Practitioner - Family Practice 3072914928 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Jun 19, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Regents of the Univ of Ca Emer Med CurrentSince Apr 10, 2022 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jun 19, 2025 Accepting new patients

Locations

924 Westwood Blvd
Ste 300
Los Angeles, CA 90024
Phone (310) 794-0585

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

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.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1831776889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 WESTWOOD BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242924",
            "telephone_number": "310-794-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 WESTWOOD BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242924",
            "telephone_number": "310-794-0785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Biltmore Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014601",
            "country_code": "US",
            "telephone_number": "828-213-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Hendersonville Rd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288032868",
            "country_code": "US",
            "telephone_number": "828-771-3545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURRUS",
        "first_name": "BRAINARD",
        "middle_name": "MONROE",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.