Active NPI
Bruce T Gipe, MD
- Pulmonary Disease Physician
- Fallbrook, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- G42382
- Practice address
- 624 E Elder St
Fallbrook, CA 92028-3004 - Phone
- (760) 728-1191
- NPI assigned
- Apr 19, 2006
- Last updated
- Dec 1, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G42382 | CA | |
| Internal Medicine Physician | 207R00000X | G42382 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | G42382 | CA | |
| Pulmonary Disease Physician | 207RP1001X | G42382 | CA | Primary |
Addresses
Primary practice location
624 E Elder St
Fallbrook, CA 92028-3004
Mailing address
PO Box 998
North Hollywood, CA 91603-0998
Phone (818) 509-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G423820 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G42382 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chase Dennis Emergency Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Clinic Services of California Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Rancho Faculty Medical Associates, Inc. | Past | Accepting new patients |
Locations
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400
1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045
624 E Elder St
Fallbrook, CA 92028
Phone (760) 451-4165
1235 W Vine St
Ste 20
Lodi, CA 95240
Phone (209) 339-7600
Interoperability endpoints
- bgipe17824@armc.direct.summit-healthcare.org
Organizations & group practices 11
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.
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- NPI 1033152350
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- Emergency Medicine Physician
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- NPI 1578958450
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
-
- Internal Medicine Physician
- Camarillo, CA
- NPI 1114985363
-
- Internal Medicine Physician
- Palm Springs, CA
- NPI 1386802056
-
- Pulmonary Disease Physician
- Colton, CA
- NPI 1467410134
-
- Emergency Medicine Physician
- Fallbrook, CA
- NPI 1467417030
-
- Internal Medicine Physician
- Oxnard, CA
- NPI 1588622724
-
- Internal Medicine Physician
- Turlock, CA
- NPI 1790743466
-
- General Practice Physician
- Burbank, CA
- NPI 1184823114
-
- General Acute Care Hospital
- Downey, CA
- NPI 1750317970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1639134877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 998",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916030998",
"telephone_number": "818-509-2222",
"fax_number": "818-761-3456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 E ELDER ST",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920283004",
"telephone_number": "760-728-1191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIPE",
"first_name": "BRUCE",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G42382",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G42382",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "G42382",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G42382",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G423820",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fallbrook, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.