BRIA LOREN PETTWAY
NPI 1891321899
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since March 21, 2020PECOS EnrolledAccepts Medicare Assignment
275 W MACARTHUR BLVD, OAKLAND, CA 94611(510) 752-1934 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Dec 30, 2024, Mar 21, 2020 (2 updates tracked since 2020).

About Bria Loren Pettway NPPES

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

BRIA LOREN PETTWAY (NPI 1891321899) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1891321899
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBRIA LOREN PETTWAY
Location Address275 W MACARTHUR BLVDOakland, CA 94611-5641
Mailing Address275 W Macarthur BlvdOakland, CA 94611-5641
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 21, 2020
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedMarch 21, 2020
✔ NPI 1891321899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
275 W MACARTHUR BLVD, Oakland, CA 94611

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bria Loren Pettway 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.

PECOS PAC ID244614121
PECOS Enrollment IDI20250319001058
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.

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.

Specialist
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Radiology (Radiation Oncology)
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Radiology (Diagnostic Radiology)
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Student in an Organized Health Care Education/Training Program
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Physical Therapist (Orthopedic)
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Student in an Organized Health Care Education/Training Program
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Obstetrics & Gynecology
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Hospitalist
275 W MACARTHUR BLVD
OAKLAND, CA 94611

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 Bria Pettway's NPI number?

The NPI number for Bria Pettway is 1891321899. It was assigned to this individual provider in the NPPES registry on March 21, 2020.

Where is Bria Pettway located?

Bria Pettway practices at 275 W Macarthur Blvd, Oakland, CA 94611. The listed phone number is (510) 752-1934.

What is Bria Pettway's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bria Pettway enrolled in Medicare?

Yes. Bria Pettway 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.

When was this NPI record last updated?

The NPPES record for Bria Pettway was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.