Active NPI
David Hunter Doty, M.D.
- Orthopaedic Surgery Physician
- San Bernardino, CA
National Provider Identifier
1508884743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G271730
- Practice address
- 2131 Elks Dr
Suite 200
San Bernardino, CA 92404-5544 - Phone
- (909) 726-6100
- Fax
- (909) 557-1745
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G271730 | CA | Primary |
Addresses
Primary practice location
2131 Elks Dr
Suite 200
San Bernardino, CA 92404-5544
Mailing address
1901 W Lugonia Ave
Suite 230
Redlands, CA 92374-9703
Phone (909) 557-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G271730 | CA | MD | Orthopaedic Surgery Physician |
| 27173 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Bernardino Medical Orthopaedic Group, Inc. | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Redlands, CA
- NPI 1225239304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1508884743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 W LUGONIA AVE",
"address_2": "SUITE 230",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923749703",
"telephone_number": "909-557-1600",
"fax_number": "909-890-0218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 ELKS DR",
"address_2": "SUITE 200",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924045544",
"telephone_number": "909-726-6100",
"fax_number": "909-557-1745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTY",
"first_name": "DAVID",
"middle_name": "HUNTER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G271730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.