NPIMap

Individual provider Active NPI

Bradley T Wrubel, M.D.

  • Neurology Physician
  • Berkeley, CA
National Provider Identifier
1487760997
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G70997 Issued in CA
Practice address
2850 Telegraph Ave
Suite 110
Berkeley, CA 94705-1192
Phone
(510) 204-8140
Fax
(510) 506-7721
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G70997 CA Primary

Addresses

Primary practice location

2850 Telegraph Ave
Suite 110
Berkeley, CA 94705-1192

Mailing address

2350 W El Camino Real FL 2
Mountain View, CA 94040-6203
Phone (510) 204-8140

Other practice location 1

2970 Hilltop Mall Rd Ste 304
Richmond, CA 94806-5274
Phone (510) 204-8140

Other identifiers 1

IdentifierTypeStateIssuer
G70997OtherCASTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421001015 CA Practitioner - Neurology 0042258915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

2850 Telegraph Ave
Suite 110
Berkeley, CA 94705-1159
Phone (510) 204-8140

Hospital & facility affiliations

  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Pacemaker insertion or repair1-10
Prostate resection1-10
Upper gastrointestinal (GI) endoscopy for acid reflux21
Removal of tissue1-10
Removal of nail tissue1-10
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G70997CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation Neurology CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Van Buren Hma LLC Past Accepting new patients
Alameda Health System Past Accepting new patients

Locations

2850 Telegraph Ave
Ste 110
Berkeley, CA 94705
Phone (510) 204-1870

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

3687 Mt Diablo Blvd
Ste 200
Lafayette, CA 94549
Phone (510) 204-6660

2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174

12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180

795 El Camino Real
#1112
Palo Alto, CA 94301

2970 Hilltop Mall Rd
Ste 304
San Pablo, CA 94806
Phone (510) 204-8090

Interoperability endpoints

  • Direct secure messaging: bwrubel60965@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1487760997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W EL CAMINO REAL FL 2",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940406203",
            "telephone_number": "510-204-8140",
            "fax_number": "510-506-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 TELEGRAPH AVE",
            "address_2": "SUITE 110",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051192",
            "telephone_number": "510-204-8140",
            "fax_number": "510-506-7721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2970 Hilltop Mall Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "CA",
            "postal_code": "948065274",
            "country_code": "US",
            "telephone_number": "510-204-8140",
            "fax_number": "510-849-0159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRUBEL",
        "first_name": "BRADLEY",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G70997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "G70997",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.