MR. BRIAN LEONARDO MONTENEGRO MD
NPI 1194871376
Pediatrics - Neonatal-Perinatal Medicine in Fairfield, CA

Active since January 28, 2007PECOS Enrolled
NORTHBAY MEDICAL CENTER, 1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533(707) 646-5000 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Brian Leonardo Montenegro Md NPPES

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

MR. BRIAN LEONARDO MONTENEGRO MD (NPI 1194871376) is an individual neonatal-perinatal medicine provider in Fairfield, California, licensed in California (A113592) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Travis Afb, and is a graduate of Tufts University School Of Medicine (2006).

NPPES Registry Identity

NPI1194871376
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameMR. BRIAN LEONARDO MONTENEGROCredential: MD
Location AddressNORTHBAY MEDICAL CENTER, 1200 B GALE WILSON BLVDFairfield, CA 94533-3552
Mailing AddressNorthbay Neonatology Associates, Inc, 1860 Pennsylvania Ave, Ste 145Fairfield, CA 94533-3547 · (707) 646-4052
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2006
Enumeration DateJanuary 28, 2007
Last NPPES UpdateNovember 24, 2025
NPPES CertifiedNovember 24, 2025
NPI 1194871376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License Licensed in CA · A113592
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License A113592 (CA)
NORTHBAY MEDICAL CENTER, Fairfield, CA 94533

Secondary Practice Location 1

Location 1101 Bodin CirTravis AFB, CA 94535-1809 · Phone (707) 423-5323

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Brian Leonardo Montenegro Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941707574
PECOS Enrollment IDI20251008004266
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Montenegro's NPI number?

The NPI number for Brian Montenegro is 1194871376. It was assigned to this individual provider in the NPPES registry on January 28, 2007.

Where is Brian Montenegro located?

Brian Montenegro practices at Northbay Medical Center 1200 B Gale Wilson Blvd, Fairfield, CA 94533. The listed phone number is (707) 646-5000.

What is Brian Montenegro's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Brian Montenegro enrolled in Medicare?

Yes. Brian Montenegro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Montenegro was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.