DR. BRIAN SU MD NPI 1063690782

NPI Information

  • NPI: 1063690782
  • Provider Name: DR. BRIAN SU, MD
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2 BON AIR RD
    SUITE 120
    LARKSPUR, CA
    ZIP 94939
  • Phone: (415) 925-8200

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NPI Details

DR. Brian Su, MD is an orthopaedic surgery of the spine orthopaedic surgery in Larkspur, CA with 23 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. DR. Brian Su, MD NPI is 1063690782. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:2003

The provider's business location address is:

2 BON AIR RD
SUITE 120
LARKSPUR, CA
ZIP 94939-141
Phone: (415) 925-8200
Fax: (415) 464-5480

The NPI 1063690782 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 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS:63048)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Placement of stabilizing device to back of 1 spine bone in neck (HCPCS:22840)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Fusion of spine in lower back (HCPCS:22612)
  • Fusion of lower spine bone through abdomen with partial removal of disc (HCPCS:22558)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Fusion of additional segment of spine (HCPCS:22614)
  • Fusion of spine in lower back with partial removal of spine bone and disc (HCPCS:22633)
  • Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
  • Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back (HCPCS:63052)
  • Removal of growth of lower spine bone outside spine membrane (HCPCS:63267)
  • Mri scan of pelvis without contrast (HCPCS:72195)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • X-ray of entire middle and lower spine, 4-5 views (HCPCS:72083)
  • Spinal fusion (HCPCS:NAN02)
  • Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)

The enumeration date for this NPI number is 2/5/2008 and was last updated on 11/21/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine237395NEW YORKNo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineA109113CALIFORNIAYes

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: 11/21/2025

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