Provider Type Icon

DR. GREGORY MICHAEL BRICCA MD NPI 1184628000


NPI Information

NPI: 1184628000
Provider Name: DR. GREGORY MICHAEL BRICCA, MD
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

PECOS Registration: Yes

CLIA Number: 05D1082730

Address:
9269 SIERRA COLLEGE BLVD
ROSEVILLE, CA
ZIP 95661
Phone: (916) 772-1585
Get Directions

DR. Gregory Michael Bricca, MD is a mohs-micrographic surgery dermatology in Roseville, CA with 26 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DR. Gregory Michael Bricca, MD NPI is 1184628000. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

9269 SIERRA COLLEGE BLVD
ROSEVILLE, CA
ZIP 95661
Phone: (916) 772-1585
Fax: (916) 772-5685

The NPI 1184628000 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D1082730 - physician office with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Special stained specimen slides to examine tissue (HCPCS:88341)
  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (HCPCS:13132)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips (HCPCS:14060)
  • Destruction of skin growth (HCPCS:17000)
  • Tissue or cell analysis by immunologic technique (HCPCS:88342)
  • Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • Destruction of up to 14 skin growths (HCPCS:17110)

The enumeration date for this NPI number is 6/9/2005 and was last updated on 11/3/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyA70396CALIFORNIANo
2207ND0101XDermatologyMOHS-Micrographic SurgeryA70396CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BB6615631OTHERCALIFORNIADEA
200A703962OTHERCALIFORNIAMEDICARE
3H78162MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.