Individual provider Active NPI

Bruce D Meyer, M.D.

  • Diagnostic Radiology Physician
  • San Bernardino, CA
National Provider Identifier
1629018817
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G48366 Issued in CA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G483661MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060913000446 CA Practitioner - General PracticePractitioner - Diagnostic Radiology 5092719682 Reassigns benefits to 4 organizations
Practice locations: San Bernardino, CA

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Diagnostic Radiology
Education
Loma Linda University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaver Medical Group P CGroup PAC ID 0547164295, 251 clinicians

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

LicenseStateTypeSpecialty
G48366CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Cassidy Medical Group Inc. Current Accepting new patients
Beaver Medical Group P C CurrentSince Dec 1, 2007 Accepting new patients
Centers for Family Medicine GP Current Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
MD Ultrasound, Inc. CurrentSince Dec 13, 2017 Accepting new patients
Beaver Medical Group P C Diagnostic Radiology CurrentSince Dec 1, 2007 Accepting new patients
Darin Rentz DO PC Diagnostic Radiology CurrentSince Feb 5, 2024 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 PastSince Feb 19, 2023 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.

View all 13

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

Verify at the official NPI Registry.