Troy Michael Bainbridge, P.A.-C, MPAS

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

912 Pine St
Mount Shasta, CA 96067-2143

Phone

(503) 813-2614

NPI assigned

Jun 3, 2007

Last updated

Jan 11, 2016By the provider in NPPES

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73477
• Direct secure messaging: troy.bainbridge@jhie.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain Valleys Health Centers

  dba Big Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Bieber, CA
  • NPI 1356438261
  Medicare reassignment
• Mayers Memorial Hospital District

  • Critical Access Hospital
  • Fall River Mills, CA
  • NPI 1912125667
  NPD
• Mountain Valleys Health Centers

  dba Butte Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Dorris, CA
  • NPI 1013088582
  NPD
• Mountain Valleys Health Centers

  dba Mount Shasta Alternative Health Center

  • Federally Qualified Health Center (FQHC)
  • Mount Shasta, CA
  • NPI 1588470025
  NPD

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1942402847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ALAMO AVE",
            "city": "WEED",
            "state": "CA",
            "postal_code": "960942352",
            "telephone_number": "503-853-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 PINE ST",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672143",
            "telephone_number": "503-813-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAINBRIDGE",
        "first_name": "TROY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "P.A.-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-03",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne Allen
• Ama Acupuncture Inc (Ama Wellness Center)
• Leslie J Andrews, MD
• Michael Ariagno, RPH
• Bonnie Atchison
• Layna Brianne Baker
• Craig Balletta
• Dustin Bartholomay
• Jazmin Gayle Bassett
• Vicki Bedford

• Medical Physician Assistant in Mount Shasta, CA
• Providers in Mount Shasta, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.