Individual provider Active NPI

Brian Jeffrey Bearie

  • Emergency Medicine Physician
  • San Bernardino, CA
National Provider Identifier
1386754216
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A73011 Issued in CA
Practice address
2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone
(909) 881-4357
NPI assigned
Aug 30, 2006
Last updated
Sep 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A73011 CA Primary

Addresses

Primary practice location

2101 N Waterman Ave
San Bernardino, CA 92404-4836

Mailing address

1407 Foothill Blvd # 14
La Verne, CA 91750-3451
Phone (909) 596-6349

Other identifiers 1

IdentifierTypeStateIssuer
00A730110MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060330000697 CA Practitioner - Emergency Medicine 2668480724 Reassigns benefits to 1 organization
I20251208001155 CO Practitioner - Emergency Medicine 2668480724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1181 S Mount Vernon Ave
Colton, CA 92324-4208
Phone (909) 639-8800

1295 Hamner Ave
Suite C
Norco, CA 92860-3161
Phone (951) 272-6500

18876 Van Buren Blvd
Suite 101
Riverside, CA 92508-9114
Phone (951) 429-6003

2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone (909) 596-6349

27640 Eucalyptus Ave
Moreno Valley, CA 92555-4557
Phone (951) 243-2200

301 W Redlands Blvd
Redlands, CA 92373-4633
Phone (909) 335-1900

33494 Oak Glen Rd
Yucaipa, CA 92399-2057
Phone (909) 797-8900

3480 La Sierra Ave
Suite B
Riverside, CA 92503-5204
Phone (951) 588-8901

3853 W Stetson Ave
Suite 100
Hemet, CA 92545-9675
Phone (951) 929-6900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue22
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A73011CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Emergency Medicine CurrentSince Apr 24, 2003 Accepting new patients
Southern California Emergency Medicine CurrentSince Jan 1, 2009 Accepting new patients
Cornerstone Total Care, PC CurrentSince Nov 1, 2025 Accepting new patients
Mission Viejo Emergency Medical Associates Emergency Medicine Past Accepting new patients
Radadvantage a Professional Corporation Past Accepting new patients
Dignity Health Past Accepting new patients
Urgent Care Now Inc, a California Professional Medical Corporation PastSince Oct 1, 2021 Accepting new patients

Locations

1181 S Mount Vernon Ave
Colton, CA 92324
Phone (909) 639-8800

1407 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-3577

27640 Eucalyptus Ave
Moreno Valley, CA 92555
Phone (951) 243-2200

1295 Hamner Ave
Ste C
Norco, CA 92860
Phone (951) 272-6500

301 W Redlands Blvd
Redlands, CA 92373
Phone (909) 335-1900

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

33494 Oak Glen Rd
Yucaipa, CA 92399
Phone (909) 797-8900

1004 E Main St
Cortez, CO 81321
Phone (970) 516-1404

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1386754216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 FOOTHILL BLVD # 14",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503451",
            "telephone_number": "909-596-6349",
            "fax_number": "909-596-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044836",
            "telephone_number": "909-881-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARIE",
        "first_name": "BRIAN",
        "middle_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A73011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A730110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.