Individual provider Active NPI

Brian A Reber, P.A.

  • Dermatology Physician
  • Redding, CA
National Provider Identifier
1952338907
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
PA13537 Issued in CA
Practice address
2107 Airpark Dr
Redding, CA 96001-2433
Phone
(530) 241-7098
Fax
(530) 241-1483
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X PA13537 CA Primary

Addresses

Primary practice location

2107 Airpark Dr
Redding, CA 96001-2433

Mailing address

2107 Airpark Dr
Redding, CA 96001-2433
Phone (530) 241-1111

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060316000219 CA Practitioner - Physician Assistant 2466469465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2107 Airpark Dr
Redding, CA 96001-2433
Phone (530) 241-1111

Merit-based Incentive Payment System (MIPS)

Final score
90.15 of 100Reported as group
Quality
96.26
Improvement activities
40
Cost
72.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Dermatology Medical Group, Inc. Dermatology CurrentSince Mar 1, 2006 Accepting new patients

Locations

1817 Concord Ave
Ste 100
Chico, CA 95928
Phone (530) 767-3376

525 2nd St
Ste 203
Eureka, CA 95501

101 Old McCloud Rd
Mount Shasta, CA 96067
Phone (530) 926-5100

2107 Airpark Dr
Redding, CA 96001
Phone (530) 241-1111

2135 Airpark Dr
Ste A
Redding, CA 96001
Phone (530) 241-1111

Interoperability endpoints

  • Direct secure messaging: breber@directaddress.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1952338907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 AIRPARK DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012433",
            "telephone_number": "530-241-1111",
            "fax_number": "530-241-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 AIRPARK DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012433",
            "telephone_number": "530-241-7098",
            "fax_number": "530-241-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBER",
        "first_name": "BRIAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "PA13537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.