Organization Active NPI

BH Vein Institute Inc.

  • Phlebology Physician
  • Beverly Hills, CA
National Provider Identifier
1508371600
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
A065321 Issued in CA
Legal business name
BH VEIN INSTITUTE INC.
Practice address
9400 Brighton Way Ste 205
Beverly Hills, CA 90210-4709
Phone
(310) 853-5850
NPI assigned
Dec 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Dr. Ivan Brooks, MDNPI 1689680522
Title
President
Phone
(310) 853-5850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 202K00000X A065321 CA Primary

Addresses

Primary practice location

9400 Brighton Way Ste 205
Beverly Hills, CA 90210-4709

Mailing address

9663 Santa Monica Blvd
PMB 749
Beverly Hills, CA 90210-4303

Other names 1

  • Beverly Hills Vein Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180219002152 CA Part B Supplier - Clinic/Group Practice 8224399068 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

Locations

9400 Brighton Way
Ste 205
Beverly Hills, CA 90210
Phone (310) 853-5850

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": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1508371600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD",
            "address_2": "PMB 749",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 BRIGHTON WAY STE 205",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104709",
            "telephone_number": "310-853-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BH VEIN INSTITUTE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-853-5850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": "CA",
            "license": "A065321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Hills Vein Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.