Gerald David Kruglik, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G034085 Issued in CA

Practice address

2297 W 21St St
Los Angeles, CA 90018-1327

Phone

(323) 737-6240

Fax

(323) 731-4150

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Gerald D. Kruglik Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Apex Radiology

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Coral Springs, FL
  • NPI 1235100454
  NPD (past)
• Radcare of Texas PLLC

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1164470845
  NPD (past)
• Shands Teaching Hospital and Clinics Inc

  • Pharmacy
  • Gainesville, FL
  • NPI 1497645915
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1376512228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19378",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900190378",
            "telephone_number": "323-737-6240",
            "fax_number": "323-737-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2297 W 21ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900181327",
            "telephone_number": "323-737-6240",
            "fax_number": "323-731-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGLIK",
        "first_name": "GERALD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G034085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERALD",
            "last_name": "KRUGLIK",
            "middle_name": "D.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carolyn Backes Krouse, AGACNP-BC
• Bonnie Krueger, PHD
• Tess Krueger, APCC
• Ashley Kruger
• Jonathan Hadley Kruger, LMFT
• Svetlana Kruglyakov, M.D
• Marian Krull
• Shawn Krumholz, MS
• Karen Krumperman, MFC
• Allison Kristine Krupa

• Diagnostic Radiology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.