DR. BRADLEY GLENN JANN D.P.M NPI 1265429310

NPI Information

  • NPI: 1265429310
  • Provider Name: DR. BRADLEY GLENN JANN, D.P.M
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 THORNDALE DR
    MEDICAL CLINIC
    SAN RAFAEL, CA
    ZIP 94903
  • Phone: (415) 461-5995

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NPI Details

DR. Bradley Glenn Jann, D.P.M is a podiatrist in San Rafael, CA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Bradley Glenn Jann, D.P.M NPI is 1265429310. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 THORNDALE DR
MEDICAL CLINIC
SAN RAFAEL, CA
ZIP 94903-501
Phone: (415) 461-5995
Fax: (415) 461-5995

The NPI 1265429310 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).

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.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • New patient custodial care facility, group care, or assisted living visit, typically 30 minutes (HCPCS:99325)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Removal of noncancer thickened skin growth, more than 4 growths (HCPCS:11057)
  • New patient home visit, typically 30 minutes (HCPCS:99342)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)

The enumeration date for this NPI number is 10/4/2005 and was last updated on 7/25/2016.

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
1213E00000XPodiatristE3865CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000E38650MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2U42344MEDICARE UPINCALIFORNIA
3000E38650MEDICAIDCALIFORNIA

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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