DR. BRUCE GARY FAGEL (NPI# 1457602419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457602419 |
| Entity Type | Individual |
| Full Name | DR. BRUCE GARY FAGEL |
| Credential | MD |
| Practice Address |
100 N Crescent Dr Suite 360 Beverly Hills CA 90210-5408 |
| Practice Telephone | 3102818700 |
| Practice Fax Number | 3102815656 |
| Mailing Telephone | 3102818700 |
| Mailing Fax Number | 3102815656 |
| Enumeration Date | 2012-09-30 |
| Last Update Date | 2012-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | G31252 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
100 N CRESCENT DR SUITE 360 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90210-5408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
| 1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
| Find all providers in zip 90210 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649651803 | Zacary Trostler Schwarzkopf | Emergency Medicine | 1276 Beverly Green Dr, Beverly Hills, CA 90212-4266 | 2015-06-14 |
| 1285848978 | Andres M Seidner | Emergency Medicine | 31173 Pickwick Ln, Beverly Hills, MI 48025-5242 | 2007-05-10 |
| 1407909989 | Eugene Jerome Carter | Emergency Medicine | 1418 Lindacrest Dr, Beverly Hills, CA 90210-2520 | 2007-01-19 |
| 1376589333 | Brian Wilbur | Emergency Medicine | 239 S La Cienega Blvd Ste 100, Beverly Hills, CA 90211-3355 | 2006-06-20 |
| 1740236967 | Leif E. Lunsford | Emergency Medicine | 239 S La Cienega Blvd, Suite 100, Beverly Hills, CA 90211-3328 | 2006-05-26 |
| 1194726075 | Alan M Spira | Emergency Medicine | 131 N Robertson Blvd, Beverly Hills, CA 90211-2103 | 2005-08-02 |
| 1689878167 | Craig Stephen Cohen | Emergency Medicine | 462 N Linden Dr, 247, Beverly Hills, CA 90212-2247 | 2007-06-11 |
| 1801944277 | Mehran Baheri | Emergency Medicine | 50 N La Cienega Blvd, Suite 218, Beverly Hills, CA 90211-2227 | 2007-01-08 |
| 1841360260 | Cherlin Kirby | Emergency Medicine | 239 S La Cienega Blvd, Ste 100, Beverly Hills, CA 90211-3328 | 2006-11-09 |
| 1760410690 | Mark J Rubin | Emergency Medicine | 239 S La Cienega Blvd, Ste 100, Beverly Hills, CA 90211-3328 | 2006-06-29 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.