BRADLEY T WRUBEL (NPI# 1487760997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487760997 |
| Entity Type | Individual |
| Full Name | BRADLEY T WRUBEL |
| Credential | M.D. |
| Practice Address |
2850 Telegraph Ave Suite 110 Berkeley CA 94705-1192 |
| Mailing Address |
2350 W El Camino Real Fl 2 Mountain View CA 94040-6203 |
| Practice Telephone | 5102048140 |
| Practice Fax Number | 5105067721 |
| Mailing Telephone | 5102048140 |
| Mailing Fax Number | 5105067721 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2019-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
G70997 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE MEDICAL LICENSE | G70997 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2970 Hilltop Mall Rd Ste 304, Richmond, CA 948065274 | 5102048140 | 5108490159 |
| Street Address |
2850 TELEGRAPH AVE SUITE 110 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-1192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992743579 | Molly Detgen Magnano | Internal Medicine | 2850 Telegraph Ave, 120, Berkeley, CA 94705-1192 | 2006-06-03 |
| 1861848046 | Sutter Bay Medical Foundation | Clinical Medical Laboratory | 2850 Telegraph Ave, Suite 130, Berkeley, CA 94705-1192 | 2016-05-06 |
| 1932587441 | Brian Cheung | Dentist | 2850 Telegraph Ave, Suite 202, Berkeley, CA 94705-1192 | 2015-05-16 |
| 1285998609 | Nihar U Shah | Internal Medicine | 2850 Telegraph Ave, Berkeley, CA 94705 | 2012-06-29 |
| 1992963920 | Joshua Elan Kuluva | Psychiatry & Neurology | 2850 Telegraph Ave, Suite 110, Berkeley, CA 94705-1192 | 2008-05-27 |
| 1093972382 | Vinod Kurupath | Internal Medicine | 2850 Telegraph Ave, Suite 120, Berkeley, CA 94705-1192 | 2008-05-22 |
| 1265640387 | Rita Ophelia Kwan-feinberg | Surgery | 2850 Telegraph Ave, Suite 120, Berkeley, CA 94705-1192 | 2007-05-21 |
| 1801974696 | Michelle Shute | Internal Medicine | 2850 Telegraph Ave, Suite #130, Berkeley, CA 94705-1159 | 2006-11-01 |
| 1801997051 | Donna Ann Jacobsen | Family Medicine | 2850 Telegraph Ave, Suite 130, Berkeley, CA 94705-1192 | 2006-09-26 |
| 1255438172 | Carolyn Marie Chong | Dentist | 2850 Telegraph Ave, Suite 202, Berkeley, CA 94705-1192 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972905768 | Ivan Diamond | Psychiatry & Neurology | 761 San Diego Rd, Berkeley, CA 94707-2025 | 2014-09-23 |
| 1508170259 | Robert Janssen | Psychiatry & Neurology | 2929 Seventh St, Suite 100, Berkeley, CA 94710 | 2010-08-04 |
| 1205953247 | Jennifer Ault | Psychiatry & Neurology | 2850 Telegraph Ave Ste 120, Berkeley, CA 94705-1159 | 2007-03-23 |
| 1265540892 | Brian Richardson | Psychiatry & Neurology | 2850 Telegraph Ave., Suite 110, Berkeley, CA 94705 | 2006-08-25 |
| 1790794360 | Robert Thomas Knight | Psychiatry & Neurology | 132 Barker Hall Uc Berkeley, Berkeley, CA 94720-3190 | 2006-08-05 |
| 1467492538 | Andrew Stewart Kayser | Psychiatry & Neurology | 132 Barker Hall, U.c. Berkeley, Berkeley, CA 94720-3190 | 2006-06-07 |
| 1477504926 | Matthew W Arnold | Psychiatry & Neurology | 2850 Telegraph Ave Ste 110, Berkeley, CA 94705 | 2006-05-12 |
| 1265412993 | Selena W Ellis | Psychiatry & Neurology | 2999 Regent St Ste 627, Berkeley, CA 94705-2190 | 2006-01-19 |
| 1629443486 | Selena Ellis, M.d. | Psychiatry & Neurology | 3000 Colby St, Suite 101, Berkeley, CA 94705-2083 | 2015-12-04 |
| 1992963920 | Joshua Elan Kuluva | Psychiatry & Neurology | 2850 Telegraph Ave, Suite 110, Berkeley, CA 94705-1192 | 2008-05-27 |
| Find all providers in BERKELEY | ||||
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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.