Bradley I. Spiegel, M.D., Inc.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G62100 Issued in CA

Legal business name

BRADLEY I. SPIEGEL, M.D., INC.

Practice address

415 Rolling Oaks Drive
Suite#115
Thousand Oaks, CA 91361-1030

Phone

(805) 370-4782

Fax

(805) 230-1107

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bradley I. Spiegel, M.D.

Title

Owner

Phone

(805) 370-4782

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1568471845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ROLLING OAKS DRIVE",
            "address_2": "SUITE#115",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611030",
            "telephone_number": "805-370-4782",
            "fax_number": "805-230-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ROLLING OAKS DRIVE",
            "address_2": "SUITE#115",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611030",
            "telephone_number": "805-370-4782",
            "fax_number": "805-230-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY I. SPIEGEL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "SPIEGEL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-370-4782",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G62100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0052480",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G62100D",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0052481",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Gagnier Bostic
• Ashley Bowen, FNP
• Lisa Marie Bowen, L.AC., DIPL.AC.
• Heidi Lynn Bowers-Dutra, OTR/L, CHT
• Tayler Boyle
• Cristina Bradley, DC
• Kim Braget
• Brain Longevity Center
• Carlos Brain
• Pauntea Davina Bral, PA-C

• Anesthesiology Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.