DR. BRYANT PRIROMPRINTR M.D.
NPI 1912387580
Pediatrics - Pediatric Cardiology in Fremont, CA
About Dr. Bryant Priromprintr M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRYANT PRIROMPRINTR M.D. (NPI 1912387580) is an individual pediatric cardiology provider in Fremont, California, licensed in California (A136711) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Bryant Priromprintr M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Bryant Priromprintr reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pleasanton, CA 94588
- Reassigned Medicare billing, California enrollment
- 4,258 clinicians in this Medicare group
Palo Alto, CA 94301
- Reassigned Medicare billing, California enrollment
- 4,479 clinicians in this Medicare group
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 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.
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.
FREMONT, CA 94538
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 Bryant Priromprintr's NPI number?
The NPI number for Bryant Priromprintr is 1912387580. It was assigned to this individual provider in the NPPES registry on June 8, 2015.
Where is Bryant Priromprintr located?
Bryant Priromprintr practices at 39650 Liberty St, Fremont, CA 94538. The listed phone number is (844) 928-1872.
What is Bryant Priromprintr's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Bryant Priromprintr enrolled in Medicare?
Yes. Bryant Priromprintr is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Bryant Priromprintr's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bryant Priromprintr reassigns Medicare benefits to 3 organizations: Stanford Health Care (Pleasanton, CA), Sutter Bay Medical Foundation (Palo Alto, CA) and Lpch Medical Group Div Of Lucile (Palo Alto, CA). Each 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 Bryant Priromprintr'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 Bryant Priromprintr was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Bryant Priromprintr, M.D. · NPI 1912387580
Pediatric Cardiology physician in Fremont, California. Individual provider, active in the CMS NPPES registry since June 8, 2015.
## Identity
- **NPI:** 1912387580 (Entity type: Individual)
- **Enumerated:** June 8, 2015
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** A136711 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 39650 LIBERTY ST, Fremont, CA 94538-2223
- **Phone:** (844) 928-1872
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Stanford Health Care (NPI 1124561758, Pleasanton, CA); Sutter Bay Medical Foundation (NPI 1013950807, Palo Alto, CA); Lpch Medical Group Div Of Lucile (NPI 1417907940, Palo Alto, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1912387580) · Data from the CMS NPPES public registry.