Organization Active NPI

Michael H. Bishop

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Brawley, CA
National Provider Identifier
1174773253
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
20A5759 Issued in CA
Legal business name
MICHAEL H. BISHOP
Practice address
751 W Legion Rd
Building 2, #205
Brawley, CA 92227-7732
Phone
(760) 351-4848
NPI assigned
Sep 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Michael H Bishop, D.O.
Title
Owner
Phone
(714) 273-5687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0005X 20A5759 CA Primary

Addresses

Primary practice location

751 W Legion Rd
Building 2, #205
Brawley, CA 92227-7732

Mailing address

5761 E la Palma Ave
#261
Anaheim, CA 92807-2229
Phone (619) 258-6200

National Provider Directory

National Provider Directory

Locations

5761 E La Palma Ave
#261
Anaheim, CA 92807

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1174773253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5761 E LA PALMA AVE",
            "address_2": "#261",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072229",
            "telephone_number": "619-258-6200",
            "fax_number": "619-258-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 W LEGION RD",
            "address_2": "BUILDING 2, #205",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277732",
            "telephone_number": "760-351-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL H. BISHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-273-5687",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "CA",
            "license": "20A5759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brawley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.