Big Bear Lake Medical Group Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

20A6319 Issued in CA

Legal business name

BIG BEAR LAKE MEDICAL GROUP INC

Practice address

41930 Garstin Dr
Big Bear Lake, CA 92315

Phone

(909) 866-6567

Fax

(909) 866-7030

NPI assigned

Jun 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael Norman, DO

Title

Physician

Phone

(909) 866-6567

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John W Bulrice, PAC

  • Medical Physician Assistant
  • Big Bear Lake, CA
  • NPI 1740404318
  NPD (past)

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1174783989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41930 GARSTIN DR PO BOX 2915",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92315",
            "telephone_number": "909-866-6567",
            "fax_number": "909-866-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41930 GARSTIN DR",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92315",
            "telephone_number": "909-866-6567",
            "fax_number": "909-866-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG BEAR LAKE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "909-866-6567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "20A6319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX63190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bear Valley Usd
• Anna Bedrossian, O.D.
• Heidi Marie Biedebach, MD
• Big Bear Family Practice Professional Corporation
• Big Bear Fire Authority
• Big Bear Optometry Inc
• Big Bear Pharmacy
• Big Bear Urgent Care Inc
• River Bilton
• Brian C. Binnie

• Cardiovascular Disease Physician in Big Bear Lake, CA
• Providers in Big Bear Lake, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.