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MRS. BRIANA LAUREN BOURBON PA
NPI 1326862616
Physician Assistant in Modesto, CA

Active since November 13, 2024PECOS Enrolled
1700 COFFEE RD # 1, MODESTO, CA 95355(209) 572-7251 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Briana Lauren Bourbon Pa NPPES

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

MRS. BRIANA LAUREN BOURBON PA (NPI 1326862616) is an individual physician assistant in Modesto, California, licensed in California (65708) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326862616
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. BRIANA LAUREN BOURBONCredential: PA
Location Address1700 COFFEE RD # 1Modesto, CA 95355-2803
Mailing Address1700 Coffee Rd # 1Modesto, CA 95355-2803
Phone(209) 572-7251
Sole ProprietorYes
Enumeration DateNovember 13, 2024
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1326862616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 65708
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1700 COFFEE RD # 1, Modesto, CA 95355
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Briana Lauren Bourbon Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

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 Briana Bourbon's NPI number?

The NPI number for Briana Bourbon is 1326862616. It was assigned to this individual provider in the NPPES registry on November 13, 2024.

Where is Briana Bourbon located?

Briana Bourbon practices at 1700 Coffee Rd # 1, Modesto, CA 95355. The listed phone number is (209) 572-7251.

What is Briana Bourbon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Briana Bourbon enrolled in Medicare?

Yes. Briana Bourbon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Briana Bourbon was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.