Brian Craig Pridgen
Brian Craig Pridgen is a Plastic and Reconstructive Surgery in Palo Alto, California. Graduated from Stanford University School of Medicine in 2012, 14 years ago. Practices with Buncke Medical Clinic Inc, a 6-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 14
- Trained at
- Stanford University School of Medicine
- Licensed in
- CA
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
Palo Alto, CANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Plastic Surgery Physician (primary) | Taxonomy 208200000X · Licence A127478 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1417213802 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 10, 2012 |
| Last updated in NPPES | December 3, 2020 |
| Certification date | December 3, 2020 |
Medicare enrollment
| Medicare specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
|---|---|
| Medical school | STANFORD UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2012 (14 years in practice) |
| Group practice | Buncke Medical Clinic Inc. — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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