Individual provider Active NPI

Brian S Boxer Wachler, MD

  • Ophthalmology Physician
  • Beverly Hills, CA
National Provider Identifier
1255457222
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G84557 Issued in CA
Practice address
465 N Roxbury Dr Ste 902
Beverly Hills, CA 90210-4212
Phone
(310) 860-1900
Fax
(310) 860-1902
NPI assigned
Mar 22, 2007
Last updated
Aug 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G84557 CA Primary

Addresses

Primary practice location

465 N Roxbury Dr Ste 902
Beverly Hills, CA 90210-4212

Mailing address

PO Box 3039
Santa Monica, CA 90408-3039
Phone (310) 860-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2017 through Jul 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84557CAMDSocial Worker
G84557CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brian S. Boxer Wachler Inc, a Medical Corp Ophthalmology PastSince Sep 6, 2001 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1255457222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3039",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904083039",
            "telephone_number": "310-860-1900",
            "fax_number": "310-860-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N ROXBURY DR STE 902",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104212",
            "telephone_number": "310-860-1900",
            "fax_number": "310-860-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOXER WACHLER",
        "first_name": "BRIAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G84557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.