Individual provider

Brian Pridgen

Plastic Surgery Physician Student in an Organized Health Care Education/Training Program Medicare enrolled

Brian Pridgen is a Plastic Surgery Physician in Palo Alto, CA, registered under NPI 1417213802. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 770 WELCH RD SUITE 400, Palo Alto, CA 94304. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

770 WELCH RD SUITE 400, Palo Alto, CA 94304 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
A127478 CA Plastic Surgery Physician primary

This provider holds licence A127478 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Plastic And Reconstructive Surgery
PAC ID
0244567485
Enrollment ID
I20201201001416

Medicare enrolment is recorded as approved under the provider type Practitioner - Plastic And Reconstructive Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Plastic Surgery covers

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. NUCC Health Care Provider Taxonomy, code 208200000X
Allopathic & Osteopathic Physicians Plastic Surgery

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208200000X Plastic Surgery Physician A127478 CA primary
390200000X Student in an Organized Health Care Education/Training Program

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1417213802 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 10, 2012
Last updatedDec 3, 2020
StatusActive
Sole proprietorYes
Practice address 770 WELCH RD
SUITE 400
Palo Alto, CA 94304
(111) 111-1111
The last update on file is Dec 3, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1417213802 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 2 1 3 8 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 4 1 6 8 0

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417213802?
NPI 1417213802 is the National Provider Identifier assigned to Brian Pridgen in Palo Alto, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Plastic Surgery Physician cover?
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is…
How do I contact Brian Pridgen?
The phone number on file with NPPES is (111) 111-1111, last updated Dec 3, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Brian Pridgen accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1417213802 a valid number?
Yes. 1417213802 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.