Individual provider Active NPI

Birinder S Brara, MD

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1215957451
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A34017 Issued in CA
Practice address
3816 Woodruff Ave Ste 205
Long Beach, CA 90808-2145
Phone
(562) 421-7292
Fax
(562) 429-0814
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A34017 CA
Family Medicine Physician 207Q00000X A34017 CA Primary
Surgery Physician 208600000X A34017 CA

Addresses

Primary practice location

3816 Woodruff Ave Ste 205
Long Beach, CA 90808-2145

Mailing address

3816 Woodruff Ave Ste 205
Long Beach, CA 90808-2145
Phone (562) 421-7292

Other identifiers 2

IdentifierTypeStateIssuer
00A340170MedicaidCA
930129075OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A34017CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Beach Memorial Medical Past Accepting new patients
University of California Irvine Past Accepting new patients
Premier Health Partners Emergency Medicine Past Accepting new patients
Alta Los Angeles Hospitals, Inc. Past Accepting new patients
Norwalk Community Emergency Physician Group Inc Emergency Medicine Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1215957451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE STE 205",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082145",
            "telephone_number": "562-421-7292",
            "fax_number": "562-429-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE STE 205",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082145",
            "telephone_number": "562-421-7292",
            "fax_number": "562-429-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRARA",
        "first_name": "BIRINDER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A34017",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34017",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A34017",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A340170",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930129075",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.