NPIMap

Organization Active NPI

Rita Biesen-Bradley, M.D., Inc.

  • Obstetrics & Gynecology Physician
  • Roseville, CA
National Provider Identifier
1861467615
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C42203 Issued in CA
Legal business name
RITA BIESEN-BRADLEY, M.D., INC.
Practice address
8207 Sierra College Blvd
500
Roseville, CA 95661-9407
Phone
(916) 784-8660
Fax
(916) 784-7218
NPI assigned
Feb 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rita Ann Biesen-Bradley, M.D.NPI 1235327388
Title
M.D.-Owner
Phone
(916) 784-8660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X C42203 CA Primary

Addresses

Primary practice location

8207 Sierra College Blvd
500
Roseville, CA 95661-9407

Mailing address

8207 Sierra College Blvd
500
Roseville, CA 95661-9407
Phone (916) 784-8660

Other identifiers 1

IdentifierTypeStateIssuer
00C422030MedicaidCA

National Provider Directory

National Provider Directory

Locations

8207 Sierra College Blvd
Ste 500
Roseville, CA 95661
Phone (916) 784-6660

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861467615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8207 SIERRA COLLEGE BLVD",
            "address_2": "500",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956619407",
            "telephone_number": "916-784-8660",
            "fax_number": "916-784-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 SIERRA COLLEGE BLVD",
            "address_2": "500",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956619407",
            "telephone_number": "916-784-8660",
            "fax_number": "916-784-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITA BIESEN-BRADLEY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIESEN-BRADLEY",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "M.D.-OWNER",
        "authorized_official_telephone_number": "916-784-8660",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C42203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C422030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.