Bruce Gary Fagel, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G31252 Issued in CA

Practice address

100 N Crescent Dr
Suite 360
Beverly Hills, CA 90210-5408

Phone

(310) 281-8700

Fax

(310) 281-5656

NPI assigned

Sep 30, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1348963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348963200000",
    "number": "1457602419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CRESCENT DR",
            "address_2": "SUITE 360",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105408",
            "telephone_number": "310-281-8700",
            "fax_number": "310-281-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CRESCENT DR",
            "address_2": "SUITE 360",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105408",
            "telephone_number": "310-281-8700",
            "fax_number": "310-281-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGEL",
        "first_name": "BRUCE",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-30",
        "last_updated": "2012-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G31252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Face and Sinonasal Specialists of Beverly Hills PC
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• Fadi Chahin, M.D. Inc
• Saul Jules Faerstein, M.D.
• Ahmad Fahid, DDS MS
• Farshid Sean Fahid, D.D.S.
• Atefeh Fahimi, PHARMD
• Parviz D Fahimian, MD
• Melvin S Faigus, M.D.

• Emergency Medicine Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.