Bryan Glenn Crum, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G69282 Issued in CA

Practice address

3190 Churn Creek Rd
Redding, CA 96002-2122

Phone

(530) 223-2500

Fax

(530) 226-1375

NPI assigned

Sep 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Ophthalmology

Education

Wake Forest University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shasta Eye Medical Group IncGroup PAC ID 6002817590, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.7 of 100Reported as group

Quality

87.3

Improvement activities

40

Cost

59.27

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: bryan.crum.p9@direct.inlandeyespecialists.nextgenshare.com
• Direct secure messaging: bryancrummd@shastaeye.direct.eyemdemr.com

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.

• Shasta Eye Medical Group Inc

  • Ophthalmology Physician
  • Redding, CA
  • NPI 1346235603
  Medicare reassignment Care Compare group NPD
• Dignity Health

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1902891385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 CHURN CREEK RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022122",
            "telephone_number": "530-223-2500",
            "fax_number": "530-226-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 CHURN CREEK RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022122",
            "telephone_number": "530-223-2500",
            "fax_number": "530-226-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUM",
        "first_name": "BRYAN",
        "middle_name": "GLENN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G69282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G692820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arezou Crose, FNP
• Richard Neale Cross, M.D.
• Crosspeaks Services, Inc.
• Jennifer Crowell, BSW
• Tracy Lynn Crowell, RN
• Karen Anne Crum, LMFT
• Toby Crum, CADC-CAS
• Brian D. Crume, D.C.
• James F Crummett, D.D.S.
• Andrew Cruz

• Ophthalmology Physician in Redding, CA
• Providers in Redding, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.