BRIAN CRAIG PRIDGEN
NPI 1417213802
Plastic Surgery in Palo Alto, CA
About Brian Craig Pridgen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN CRAIG PRIDGEN (NPI 1417213802) is an individual plastic surgery provider in Palo Alto, California, licensed in California (A127478) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Brian Craig Pridgen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Brian Pridgen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94114
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PALO ALTO, CA 94304
PALO ALTO, CA 94304
PALO ALTO, CA 94304
PALO ALTO, CA 94304
PALO ALTO, CA 94304
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 Pridgen's NPI number?
The NPI number for Brian Pridgen is 1417213802. It was assigned to this individual provider in the NPPES registry on April 10, 2012.
Where is Brian Pridgen located?
Brian Pridgen practices at 770 Welch Rd Suite 400, Palo Alto, CA 94304. The listed phone number is (111) 111-1111.
What is Brian Pridgen's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Brian Pridgen enrolled in Medicare?
Yes. Brian Pridgen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Brian Pridgen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brian Pridgen reassigns Medicare benefits to Buncke Medical Clinic Inc. (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Pridgen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brian Pridgen was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Brian Craig Pridgen · NPI 1417213802
Plastic Surgery physician in Palo Alto, California. Individual provider, active in the CMS NPPES registry since April 10, 2012.
## Identity
- **NPI:** 1417213802 (Entity type: Individual)
- **Enumerated:** April 10, 2012
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** A127478 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 770 WELCH RD, SUITE 400, Palo Alto, CA 94304-1511
- **Phone:** (111) 111-1111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Buncke Medical Clinic Inc. (NPI 1750371571, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Stanford University School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** December 3, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1417213802) · Data from the CMS NPPES public registry.