BRIAN GIRARD DO
NPI 1740800747
Student in an Organized Health Care Education/Training Program in Buffalo, NY

NPI Status: Active since April 20, 2020

Contact Information

100 HIGH ST
BUFFALO, NY
ZIP 14203
Phone: (716) 859-5600

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  • Individual
  • Male
  • Years of Experience 6
  • Student in an Organized Health Care Educ...
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About BRIAN GIRARD

This page provides the complete NPI Profile along with additional information for Brian Girard, a primary care provider established in Buffalo, New York with a medical specialization in Student In An Organized Health Care Education/training Program and more than 6 years of experience. He graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2020. The healthcare provider is registered in the NPI registry with number 1740800747 assigned on April 2020. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1740800747
Provider Name
BRIAN GIRARD DO
Gender
Male
Entity Type
Individual
Location Address
100 HIGH ST BUFFALO, NY 14203
Location Phone
(716) 859-5600
Mailing Address
100 HIGH ST BUFFALO, NY 14203
Mailing Phone
(716) 859-5600
Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
04-20-2020
Last Update Date
04-20-2020
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A primary care provider (PCP) like Brian Girard sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Bronze Share - HMO
  • Essentia Choice Care with Medica Expanded Bronze Standard - HMO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Gold Share - HMO
  • Essentia Choice Care with Medica Gold Standard - HMO
  • Essentia Choice Care with Medica Silver $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Silver Share - HMO
  • Essentia Choice Care with Medica Silver Standard - HMO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Brian Girard is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Brian Girard is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9335595479

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20231026001484

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Brian Girard is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ESSENTIA HEALTH ST MARY'S MEDICAL CENTER402 EAST SECOND STREET
DULUTH, MN 55805
(218) 786-3574Acute Care Hospitals
ESSENTIA HEALTH VIRGINIA901 9TH STREET NORTH
VIRGINIA, MN 55792
(218) 741-3340Acute Care Hospitals
ESSENTIA HEALTH SANDSTONE705 LUNDORFF DRIVE SOUTH
SANDSTONE, MN 55072
(218) 786-1367Critical Access Hospitals

Reviews for BRIAN GIRARD DO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1740800747
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2780160078
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 1 + 6 + 0 + 0 + 7 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1740800747 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093712077MRS. KRISTEN M SALVAMOSER RPA
Individual
Physician Assistant (Medical)100 HIGH ST
BUFFALO, NY 14203
(719) 859-1345
1417940008 A NORMAN LEWIN M.D.
Individual
Specialist100 HIGH ST C3
BUFFALO, NY 14203
(716) 859-3392
1962481911DR. SONYA S. NOOR M.D.
Individual
Surgery (Vascular Surgery)100 HIGH ST
BUFFALO, NY 14203
(716) 859-5600
1710957501 BIANCA WEINSTOCK GUTTMAN MD
Individual
Psychiatry & Neurology (Neurology)100 HIGH ST
BUFFALO, NY 14203
(716) 689-1901
1780655894 MARGARET UMHAUER MD
Individual
Nurse Practitioner (Adult Health)100 HIGH ST
BUFFALO, NY 14203
(716) 859-1584
1093786287 THEODORE C ONDRACEK MD
Individual
Pathology (Clinical Pathology/Laboratory Medicine)100 HIGH ST
BUFFALO, NY 14203
(716) 859-5600
1174594170 JUDITH SUTIN MD
Individual
Physical Medicine & Rehabilitation100 HIGH ST
BUFFALO, NY 14203
(716) 685-9560
1124099544 JANET SHUCARD MD
Individual
Psychiatry & Neurology (Neurology)100 HIGH ST
BUFFALO, NY 14203
(716) 689-1901
1154393346 LIONEL SIFONTES MD
Individual
Internal Medicine100 HIGH ST
BUFFALO, NY 14203
(716) 689-1901
1750353546 AMY SANDS MD
Individual
Pathology (Hematology)100 HIGH ST
BUFFALO, NY 14203
(716) 859-5600
1750354148 REID HEFFNER MD
Individual
Pathology (Neuropathology)100 HIGH ST BUFFALO GENERAL HOSPITAL
BUFFALO, NY 14203
(716) 859-2281
1134192404 THOMAS GUTTUSO MD
Individual
Psychiatry & Neurology (Neurology)100 HIGH ST BUFFALO GENERAL HOSPITAL
BUFFALO, NY 14203
(716) 859-2859
1841263290 ROBYN LOEHFELM PA
Individual
Physician Assistant100 HIGH ST
BUFFALO, NY 14203
(716) 859-3853
1841263605 MARGARET W. PAROSKI MD
Individual
Psychiatry & Neurology (Neurology)100 HIGH ST
BUFFALO, NY 14203
(716) 689-1901
1841264389 PETER TONY OSTROW MD
Individual
Pathology (Neuropathology)100 HIGH ST
BUFFALO, NY 14203
(716) 689-1901
1639143456 ARTHUR E. ORLICK MD
Individual
Internal Medicine (Cardiovascular Disease)100 HIGH ST
BUFFALO, NY 14203
(716) 859-2605
1821063561 ABDUR KHAN MD
Individual
Pathology (Anatomic Pathology)100 HIGH ST BUFFALO GENERAL HOSPITAL
BUFFALO, NY 14203
(716) 829-2846
1215902218 RICHARD KRAUSE MD
Individual
Emergency Medicine100 HIGH ST ROMM A 143
BUFFALO, NY 14203
(716) 859-1993
1043286875 ANN STACK STEINWALD NP
Individual
Nurse Practitioner (Critical Care Medicine)100 HIGH ST
BUFFALO, NY 14203
(716) 859-2244
1366417198 BRENDA FIX NP
Individual
Nurse Practitioner (Critical Care Medicine)100 HIGH ST
BUFFALO, NY 14203
(716) 859-2244

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740800747, enumerated in the NPI registry as an "individual" on April 20, 2020

The provider is located at 100 High St Buffalo, Ny 14203 and the phone number is (716) 859-5600

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider has more than 6 years of experience. He graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2020.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The practitioner is affiliated to the following hospital(s): ESSENTIA HEALTH ST MARY'S MEDICAL CENTER, ESSENTIA HEALTH VIRGINIA and ESSENTIA HEALTH SANDSTONE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 20, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.