DESCHAMPS-BRALY FOUNDATION FOR PEDIATRIC CRANIOFACIAL MALADIES – NPI #1902218837
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

DESCHAMPS-BRALY FOUNDATION FOR PEDIATRIC CRANIOFACIAL MALADIES is a surgeon located in SAN FRANCISCO, CA. NPPES has assigned the NPI number 1902218837 to DESCHAMPS-BRALY FOUNDATION FOR PEDIATRIC CRANIOFACIAL MALADIES on May 27, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 11 years ago on Jul 17, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DESCHAMPS-BRALY FOUNDATION FOR PEDIATRIC CRANIOFACIAL MALADIES below.

NPI Profile for
DESCHAMPS-BRALY FOUNDATION FOR PEDIATRIC CRANIOFACIAL MALADIES

NPI Number
1902218837
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DESCHAMPS-BRALY FOUNDATION FOR PEDIATRIC CRANIOFACIAL MALADIES
Primary location
450 SUTTER ST. #1520
SAN FRANCISCO, CA 94108
Phone: (415) 624-3922 Fax: (415) 276-9382
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JORDAN DESCHAMPS-BRALY
OWNER
Phone: (415) 524-3922
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
CA A121399

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.