BRIAN TOSHIRO FRY MD
NPI 1124681911
Surgery in Santa Monica, CA

Q: What is Brian Fry's NPI number?

The NPI number for Brian Fry is 1124681911. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Q: What is Brian Fry's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Fry was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 17, 2019PECOS Enrolled

1223 16TH ST STE 3400, SANTA MONICA, CA 90404(310) 319-4080 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 31, 2026, Apr 17, 2019 (2 updates tracked since 2019).

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About Brian Toshiro Fry Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN TOSHIRO FRY MD (NPI 1124681911) is an individual surgery provider in Santa Monica, California, licensed in California (A209871) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of University Of Michigan Medical School (2019).

NPPES Registry Identity

NPI1124681911

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameBRIAN TOSHIRO FRYCredential: MD

Location Address1223 16TH ST STE 3400Santa Monica, CA 90404-1279

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(310) 319-4080

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2019

Enumeration DateApril 17, 2019

Last NPPES UpdateJuly 31, 20262 updates tracked since enumeration

NPPES CertifiedJuly 31, 2026

✔ NPI 1124681911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · A209871

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1223 16TH ST STE 3400, Santa Monica, CA 90404

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Secondary Practice Location 1

Location 1757 Westwood PlzLos Angeles, CA 90095-8358 · Phone (310) 825-8357

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Toshiro Fry Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688916075

PECOS Enrollment IDI20260623002026

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Brian Fry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ucla Associated General Surgeons

3.5 mi

Surgery

100 UCLA MEDICAL PLZ STE 700
Los Angeles, CA 90024

Reassigned Medicare billing, California enrollment
83 clinicians in this Medicare group

NPI 1730147372 (310) 206-0367

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. COLLEEN LUCY CHANNICK M.D.

Internal Medicine (Pulmonary Disease)