Bryan J Drucker, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G77403 Issued in CA

Practice address

2577 Samaritan Dr
Suite 830
San Jose, CA 95124-4100

Phone

(408) 356-1319

Fax

(408) 356-6296

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LPCH Medical Group Div of Lucile

  dba Lucile Salter Packard Children's Hospital at Stanford

  • Children's Hospital
  • Palo Alto, CA
  • NPI 1417907940

  Pediatrics

  Medicare reassignment NPD
• PA Medical Group Inc

  dba Dba: Pediatric Associates

  • Pediatrics Physician
  • San Jose, CA
  • NPI 1134279904
  NPD (past) Authorized official
• Good Samaritan Hospital Ca LTD PTP

  dba Good Samaritan Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1205852209
  NPD (past)
• Good Samaritan Hospital, L.P.

  dba Good Samaritan Hospital

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1376595777
  NPD (past)
• Pih Health Good Samaritan Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1508859323
  NPD (past)
• Stanford Hospital and Clinics

  dba SHC Reference Laboratory

  • Clinical Medical Laboratory
  • Palo Alto, CA
  • NPI 1174698468
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1083764856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 SAMARITAN DR",
            "address_2": "SUITE 830",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244100",
            "telephone_number": "408-356-1319",
            "fax_number": "408-356-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 SAMARITAN DR",
            "address_2": "SUITE 830",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244100",
            "telephone_number": "408-356-1319",
            "fax_number": "408-356-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUCKER",
        "first_name": "BRYAN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G77403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G77403",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Babylynne Pomare Drexler
• Bruce J Dreyfuss, M.D.
• Drogueria San Jose Inc (Garciacare)
• DRS Korb & Merat
• DRS. Bui & Le Optometry Professional Corporation
• Natalie Drucker
• Pauline Joan Druffel, MA, MFT
• Julia Drummond
• Tyler G Von Christian Drye
• Dscy Living Corp (Sunny young L Ac)

• Pediatrics Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.