Organization Active NPI

Bryan a. Gunnoe, MD, Inc.

  • Specialist
  • Hesperia, CA
National Provider Identifier
1487909289
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G71016 Issued in CA
Legal business name
BRYAN A. GUNNOE, MD, INC.
Practice address
12021 Jacaranda Ave
Suite 202
Hesperia, CA 92345-4978
Phone
(760) 956-5200
Fax
(760) 669-0793
NPI assigned
Jul 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Bryan A Gunnoe, MD
Title
Orthopaedic Surgeon / Owner
Phone
(760) 956-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G71016 CA Primary

Addresses

Primary practice location

12021 Jacaranda Ave
Suite 202
Hesperia, CA 92345-4978

Mailing address

12277 Apple Valley Rd # 396
#396
Apple Valley, CA 92308-1701
Phone (760) 956-5200

National Provider Directory

National Provider Directory

Locations

12021 Jacaranda Ave
Ste 202
Hesperia, CA 92345
Phone (760) 956-0793

Practitioners & affiliated clinicians

Practitioners 2

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": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1487909289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12277 APPLE VALLEY RD # 396",
            "address_2": "#396",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923081701",
            "telephone_number": "760-956-5200",
            "fax_number": "760-669-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 JACARANDA AVE",
            "address_2": "SUITE 202",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923454978",
            "telephone_number": "760-956-5200",
            "fax_number": "760-669-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN A. GUNNOE, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "GUNNOE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ORTHOPAEDIC SURGEON / OWNER",
        "authorized_official_telephone_number": "760-956-5200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G71016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

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