Bryan Edward Caudle, MD
Individual provider Active NPI Family Medicine Physician · Paradise, CA
NPI 1992196349 · NPPES record last updated Jul 20, 2021
Key facts
- NPI
- 1992196349
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A165469 (CA)
- Practice address
- 5125 Skyway
Paradise, CA 95969-5624 - Phone
- (530) 872-2000
- NPI assigned
- Feb 6, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of California, Davis School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adventist Health Physicians Network
Practice addresses (Care Compare)
5125 Skyway
Paradise, CA 95969-5624
Phone (530) 872-2000
Hospital & facility affiliations
- Butte Home Health and Hospice
- Valley View Healthcare Services LLC
- Adventist Health Clearlake
- Enloe Health
- Oroville Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.74 of 100
- Quality
- 94
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 65.12
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 81.54
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210811003670 | CA | Practitioner - Family Practice | 3173927266 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A165469 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Physicians Network | Family Medicine | Current |
Accepting new patients |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current |
Accepting new patients | |
| Adventist Health Clearlake Hospital Inc. | Current |
Accepting new patients | |
| Adventist Health Clearlake Hospital, Inc | Past | Accepting new patients |
Locations
111 Raley Blvd
Ste 140
Chico, CA 95928
Phone (530) 342-5776
15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820
5125 Skyway
Paradise, CA 95969
Phone (530) 872-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A165469 | CA | Yes |
Addresses
Primary practice location
5125 Skyway
Paradise, CA 95969-5624
Mailing address
5125 Skyway
Paradise, CA 95969-5624
Phone (530) 872-2000
Other providers in Paradise, CA
- Rachel Carlson
- Robert S Carter
- Roy L. Carter
- Melissa Noelle Case
- Cathleen R. Cassady
- Cep America - California
- Manoj George Cheevers
- Chico Immediate Care Medical Center, Inc.
- Children'S Community Charter School
- Joelle Susanne Chinnock
All providers in Paradise, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.