Active NPI
Bruce D Meyer, M.D.
- Diagnostic Radiology Physician
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G48366
- Practice address
- 1996 N D St
San Bernardino, CA 92405-3912 - Phone
- (909) 883-7777
- Fax
- (909) 883-7773
- NPI assigned
- Jun 7, 2006
- Last updated
- May 13, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G48366 | CA | Primary |
| General Practice Physician | 208D00000X | G48366 | CA |
Addresses
Primary practice location
1996 N D St
San Bernardino, CA 92405-3912
Mailing address
1996 N D St
San Bernardino, CA 92405-3912
Phone (909) 883-7777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G483661 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Loma Linda University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 E Cooley Dr
Colton, CA 92324-3905
Phone (909) 370-4100
145 Thunder Dr
Vista, CA 92083-6010
Phone (760) 941-9002
1600 E Citrus Ave
Suite a
Redlands, CA 92374-4802
Phone (909) 294-3682
1700 N Waterman Ave
San Bernardino, CA 92404-5115
Phone (909) 883-8611
2 W Fern Ave
Redlands, CA 92373-5916
Phone (909) 793-3311
33758 Yucaipa Blvd
Yucaipa, CA 92399-2243
Phone (909) 795-9747
6109 W Ramsey St
Banning, CA 92220-3051
Phone (909) 845-0313
7000 Boulder Ave
Highland, CA 92346-3348
Phone (909) 862-1191
81 Highland Springs Ave
Beaumont, CA 92223-3170
839 N Highland Springs Ave
Beaumont, CA 92223-3170
Phone (951) 845-0313
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G48366 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Imaging Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Cassidy Medical Group Inc. | Current | Accepting new patients | |
| Beaver Medical Group P C | Current | Accepting new patients | |
| Centers for Family Medicine GP | Current | Accepting new patients | |
| Renaissance Imaging Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| MD Ultrasound, Inc. | Current | Accepting new patients | |
| Beaver Medical Group P C | Diagnostic Radiology | Current | Accepting new patients |
| Darin Rentz DO PC | Diagnostic Radiology | Current | Accepting new patients |
| Redlands Community Hospital | Past | Accepting new patients | |
| Citrus Valley Imaging, Inc | Diagnostic Radiology | Past | Accepting new patients |
| Beaver Medical Group P C | Past | Accepting new patients | |
| Quantum Medical Radiology of California, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| San Gorgonio Memorial Hospital | Past | Accepting new patients |
Locations
600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287
17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200
47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191
47111 Monroe St
#1112
Indio, CA 92201
1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254
44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050
2400 E 4th St
National City, CA 91950
Phone (619) 470-4141
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500
1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616
3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511
3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000
16850 Bear Valley Rd
Victorville, CA 92395
145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Optum
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Northridge, CA
- NPI 1487608931
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Multi-Specialty Clinic/Center
- Vista, CA
- NPI 1215003470
-
dba Optumcare Medical Group
- Family Medicine Physician
- Los Alamitos, CA
- NPI 1467598243
-
- Diagnostic Ultrasound Physician
- Burbank, CA
- NPI 1497269369
-
dba Beaver Advantage Health Center
- Family Medicine Physician
- Redlands, CA
- NPI 1275570830
-
- Diagnostic Radiology Physician
- Redlands, CA
- NPI 1134167513
-
- Diagnostic Radiology Physician
- Palm Springs, CA
- NPI 1558539130
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1629018817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1996 N D ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924053912",
"telephone_number": "909-883-7777",
"fax_number": "909-883-7773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1996 N D ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924053912",
"telephone_number": "909-883-7777",
"fax_number": "909-883-7773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "BRUCE",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G48366",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "G48366",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G483661",
"state": "CA"
}
],
"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 May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.