Individual provider Active NPI

Bradford Frank, MD

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1922057074
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5315273 Issued in NY
Practice address
3350 La Jolla Village Dr
San Diego, CA 92161-0002
Phone
(858) 552-8585
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5315273 NY Primary

Addresses

Primary practice location

3350 La Jolla Village Dr
San Diego, CA 92161-0002

Mailing address

3350 La Jolla Village Dr
San Diego, CA 92161-0002
Phone (858) 552-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ND, SD, MT, IN5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20070427000075 NY Practitioner - Psychiatry 9830130194 Reassigns benefits to 1 organization
I20130522000189 ND Practitioner - Psychiatry 9830130194 Reassigns benefits to 3 organizations
I20240531003456 SD Practitioner - Psychiatry 9830130194 Reassigns benefits to 1 organization
I20240708001751 MT Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 9830130194 Reassigns benefits to 3 organizations
I20260604000647 IN Practitioner - Psychiatry 9830130194 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peterson Medical Clinics LLCGroup PAC ID 9335412220, 91 clinicians
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

125 Airport Rd
Chinook, MT 59523-7830
Phone (701) 205-3000

1501 Centre St
Suite 113
Rapid City, SD 57703-3004
Phone 83286948181004

181 Kenwood Ave
Suite 10
Oneida, NY 13421-2802
Phone 8328694818235

510 8TH Ave NE
Hazen, ND 58545-4637
Phone (832) 869-4818

602 E Ash Ave
Glen Ullin, ND 58631-7138
Phone (701) 205-3000

800 Kensington Ave
Suite LL4
Missoula, MT 59801-5606
Phone 83286948181004

802 2ND St NW
Bowman, ND 58623-4483
Phone (701) 205-3000

8240 Naab Rd
Suite 360
Indianapolis, IN 46260-1987
Phone 8328694818235

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5315273NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peterson Medical Clinics, LLC Psychiatry CurrentSince Sep 9, 2017 Accepting new patients
Psychiatry of Texas PLLC Psychiatry CurrentSince Jan 1, 2026 Accepting new patients
Sweet Memorial Nursing Home CurrentSince Jun 27, 2024 Accepting new patients
Psychplus Medical Associates, PLLC Psychiatry CurrentSince Jan 1, 2026 Accepting new patients
Lake Country Associates, Inc. PastSince Mar 15, 2010 Accepting new patients
Southwestern Dist Health Unit Past Accepting new patients

Locations

1612 Blackiston View Dr
Clarksville, IN 47129
Phone (502) 530-0916

8240 Naab Rd
Ste 360
Indianapolis, IN 46260
Phone (317) 297-3338

123 3rd Ave E
Ste 300
Alexandria, MN 56308

700 Cedar St
Ste 228
Alexandria, MN 56308
Phone (320) 762-3935

1010 S Birch Ave
Hallock, MN 56728
Phone (218) 843-3612

205 Roosevelt Ave W
Karlstad, MN 56732
Phone (218) 436-2251

515 Bridge St
Park Rapids, MN 56470
Phone (218) 252-0066

960 S 24th St W
Ste H
Billings, MT 59102
Phone (406) 272-2376

800 Kensington Ave
Ste LL4
Missoula, MT 59801

424 S 3rd St
Ste 1
Bismarck, ND 58504

528 21st St W
Dickinson, ND 58601
Phone (701) 483-0171

4501 15th Ave SW
Ste 105
Fargo, ND 58103

1451 44th Ave S
Ste A
Grand Forks, ND 58201
Phone (701) 732-2700

3674 S Washington St
Grand Forks, ND 58201
Phone (701) 732-2538

510 8th Ave NE
Hazen, ND 58545
Phone (701) 748-2225

1408 20th Ave SW
Ste 5
Minot, ND 58701

800 S Main Ave
Rugby, ND 58368
Phone (701) 776-5261

9717 Q St
Unit 14
Omaha, NE 68127

10040 Regency Cir
Ste 375
Omaha, NE 68114
Phone (402) 934-0044

181 Kenwood Ave
Ste 10
Oneida, NY 13421

1501 Centre St
Ste 113
Rapid City, SD 57703

401 Veterans Ave
Sisseton, SD 57262
Phone (605) 698-3162

2001 Broadway Ave
Yankton, SD 57078
Phone (605) 520-0477

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1922057074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 LA JOLLA VILLAGE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921610002",
            "telephone_number": "858-552-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 LA JOLLA VILLAGE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921610002",
            "telephone_number": "858-552-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "5315273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.