Full Service Search Agency · San Francisco
AI, SEO & Paid Search
Agency in San Francisco.
We help San Francisco's plastic surgeons, dentists, medical clinics, and law firms win the searches Google judges hardest, then turn that visibility into booked consultations and signed clients.
SEO · AI Search · Paid Search · Content
Revenue Influenced
Avg. Organic ROI
Brands Scaled
The Problem
You run a top practice in San Francisco. Search says otherwise.
Patients and clients in San Francisco pick from the map pack, the AI answer, and the top three results. In medical, dental, and legal, the industries Google labels Your Money or Your Life, the bar to appear there is higher than anywhere else. Generalist agencies keep learning that after the rankings drop.
Our Approach
We build authority Google can't ignore.
Every page we build for San Franciscoclients starts from E-E-A-T: real credentials, real reviews, real expertise, made visible to both the algorithm and the AI models answering on its behalf. If it doesn't move consultations or signed matters, we don't do it.
What We Do
Everything a San Francisco Practice Needs to Own Search
Six disciplines. One revenue goal.
Your Money or Your Life
Why Medical, Dental & Legal Search
Plays by Harder Rules.
Google calls these industries Your Money or Your Life: pages that can affect someone's health, finances, or safety. Every core update raises the bar. Here's what that means in San Francisco.
The Scrutiny
E-E-A-T Is the Ranking System
Provider credentials, authorship, reviews, and citations aren't nice-to-haves. They're the inputs Google's quality raters are told to check first.
The Volatility
Core Updates Hit YMYL Hardest
Generalist-agency sites are the ones that crater when an update lands. Authority-first builds are the ones that absorb it.
The Payoff
The Bar Keeps Competitors Out
Once you clear it, the same scrutiny that kept you invisible becomes a moat. Most San Francisco competitors never make the investment.
The New Front Door
When San Francisco Patients Ask AI,
Whose Name Comes Up?
Before they ever search for the best surgeon or lawyer near them, patients and clients are asking ChatGPT and Google's AI Overviews. Those answers name names, and being absent is invisible in a way rankings reports never show.
The Territory Split
Maps Owns One Half. AI Owns the Other.
Local intent still routes through the map pack, but research intent, the is-it-worth-it and what-does-it-cost questions, now resolves inside AI answers. We build for both territories, because your next patient crosses both.
The New KPI
We Track LLM Referrals & Citations
We measure the San Franciscoqueries where AI names your practice, track LLM referral traffic in analytics, and grow both. It's the same playbook that took one surgeon from 16 to 168 AI Overview citations.
Proven Outcomes
The Work Speaks
Real clients. Real numbers. No exceptions.
Medical Clinic
218%
increase in leads
SaaS Client
3.1x
organic revenue in 12 months
Professional Services
$3.2M
pipeline attributed to organic
Case Studies
How We Get There
Deep-dive breakdowns of real engagements: the traffic, rankings, and AI citations we earn in YMYL niches, where Google holds every page to the highest bar.
Who We Work With
San Francisco's High-Trust Industries
The San Francisco Search Market
What Search Demand Looks Like in San Francisco
15,200
Monthly searches across 20 core medical, dental, and legal queries in San Francisco
$19
Average cost per click across San Francisco medical, dental, and legal keywords
$83
Cost of one click on personal injury lawyer searches, the market's most expensive query
San Francisco's high-trust search demand skews toward dentistry. General dentist, Invisalign, dental implant, veneer, and emergency dentist queries combine for more than 5,200 searches a month, and a single dental implant click trades at nearly $15. Legal is where the spend gets serious: personal injury and car accident queries each pull 1,600 monthly searches at more than $80 per click, which is why organic and AI visibility pay for themselves fastest in that vertical. The opening we see is on the medical side. High-intent queries like plastic surgeon San Francisco and facelift San Francisco currently show almost no paid coverage, and research-intent questions are increasingly answered inside AI results rather than the classic ten blue links. Practices that build cited, credentialed content now are claiming that territory while it is still cheap.
Source: Semrush US database, 2026-08
Common Questions
Search in San Francisco, Answered
We manage the three channels that decide who gets found in San Francisco: organic rankings, AI answers, and paid ads. That means SEO that ranks your practice for procedure and practice-area searches, AI search optimization so ChatGPT and Google's AI Overviews recommend you by name, and paid search that captures demand while organic builds. Brown Bear specializes in YMYL industries, the medical, dental, and legal categories Google holds to its highest standard.
Google classifies medical and legal pages as Your Money or Your Life content, because a bad answer can hurt someone’s health or finances. That classification triggers stricter quality standards: demonstrated expertise, verifiable credentials, authoritative citations, and trust signals across the whole site. Generic SEO that works for an ecommerce store simply does not clear this bar. Our entire process is built around E-E-A-T, so every page proves expertise to both the algorithm and the patient.
Most practices see meaningful movement within 3 to 6 months and significant lead growth between 9 and 12 months. SEO compounds over time, and the work done in month one is still paying off in month 18. Paid search fills the gap while organic builds, which is why we often recommend running both together.
In this market, usually yes. San Francisco legal clicks cost more than $80 and dental implant clicks near $15, so paid-only strategies get expensive fast, while SEO-only strategies leave demand on the table during the ramp. Paid captures patients and clients searching right now, SEO and AI visibility bring your cost per acquisition down every month they compound, and the data from each channel sharpens the other.
Yes. Brown Bear is based in the San Francisco Bay Area and works with practices and firms nationwide. San Francisco is home turf, and we serve clients across the Bay Area and beyond, fully remote, with the same playbook: search-first strategy focused on consultations and signed clients rather than vanity rankings.
Working with Bryan Passanisi
“Bryan makes things happen and has an incredible attention to detail on all of the small SEO tweaks that add up to big results.”
Jean Kim Hahn, Senior Director Global Marketing, MiniMed
“Bryan takes the time to educate other business partners on SEO. Because of that, more integrated branded ideas were able to be executed.”
David Nielsen, Lead SEO, Genentech
“Bryan has an unbelievable drive to excel at everything he does. He thinks through all the approaches, identifies those most likely to yield the most impressive results, executes quickly, analyzes the results, communicates the insights and builds upon them.”
Mike Berry, Ex Adobe, eBay, PayPal
The Expert
Bryan Passanisi
Founder, Brown Bear Digital
Bryan Passanisi is establishing himself as one of the sharpest emerging voices at the intersection of SEO and AI search. With 15 years of hands-on experience building and scaling search programs, he brings a depth of knowledge most agencies simply can't match — and a relentless focus on what's actually moving results right now.
As search evolves around AI Overviews, generative engines, and large language models, Bryan is at the front of it — testing, building, and translating what's changing into strategy that compounds. He understands the full search landscape, from technical SEO and entity optimization to GEO and LLM visibility, and he founded Brown Bear to give businesses direct access to that expertise without the agency overhead.
- 15 years across SEO, AI search, and paid strategy
- Deep expertise in GEO, entity SEO, and AI Overviews
- Direct access — no account managers, no hand-offs
Ready to Own
San Francisco Search?
No pitch decks. Just a real conversation about your market.