Organization Active NPI

Brian Flyer MD a Professional

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1437287380
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G48952 Issued in CA
Legal business name
BRIAN FLYER MD A PROFESSIONAL
Practice address
50 N la Cienega Blvd Ste 320
Beverly Hills, CA 90211-2241
Phone
(310) 659-9950
Fax
(310) 659-9957
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Lynn Roberts
Title
Office Manager
Phone
(310) 659-9950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G48952 CA Primary

Addresses

Primary practice location

50 N la Cienega Blvd Ste 320
Beverly Hills, CA 90211-2241

Mailing address

50 N la Cienega Blvd Ste 320
Beverly Hills, CA 90211-2241
Phone (310) 659-9950

Other practice location 1

1125 S Beverly Dr
Los Angeles, CA 90035-1148
Phone (310) 300-1122

Other identifiers 1

IdentifierTypeStateIssuer
00G489520MedicaidCA

National Provider Directory

National Provider Directory

Locations

50 N La Cienega Blvd
Ste 320
Beverly Hills, CA 90211
Phone (310) 659-9950

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1437287380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N LA CIENEGA BLVD STE 320",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112241",
            "telephone_number": "310-659-9950",
            "fax_number": "310-659-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N LA CIENEGA BLVD STE 320",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112241",
            "telephone_number": "310-659-9950",
            "fax_number": "310-659-9957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 S Beverly Dr",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900351148",
            "country_code": "US",
            "telephone_number": "310-300-1122",
            "fax_number": "310-277-2852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIAN FLYER MD A PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-659-9950"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G48952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G489520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.