Active NPI
Peter Barglow, MD
- Psychiatry Physician
- Berkeley, CA
National Provider Identifier
1003849548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G6500
- Practice address
- 1 Quail Avenue
Berkeley, CA 94708 - Phone
- (510) 540-8156
- Fax
- (510) 295-2744
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G6500 | CA | Primary |
Addresses
Primary practice location
1 Quail Avenue
Berkeley, CA 94708
Mailing address
1 Quail Avenue
Berkeley, CA 94708
Phone (510) 540-8156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060802000240 | CA | Practitioner - Psychiatry | 1052324456 | Practice locations: Berkeley, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Northwestern University Feinberg Medical School, 1956
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1 Quail Ave
Berkeley, CA 94708-2009
Phone (510) 540-8156
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G6500 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003849548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 QUAIL AVENUE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94708",
"telephone_number": "510-540-8156",
"fax_number": "510-295-2744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 QUAIL AVENUE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94708",
"telephone_number": "510-540-8156",
"fax_number": "510-295-2744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARGLOW",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G6500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.