Active NPI
Rita Biesen-Bradley, M.D., Inc.
- Obstetrics & Gynecology Physician
- Roseville, CA
National Provider Identifier
1861467615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- C42203
- 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
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.
- Title
- M.D.-Owner
- Phone
- (916) 784-8660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C422030 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
8207 Sierra College Blvd
Ste 500
Roseville, CA 95661
Phone (916) 784-6660
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Roseville, CA
- NPI 1598049249
-
- Women's Health Nurse Practitioner
- Roseville, CA
- NPI 1447430814
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.