Brian R. Gantwerker, M.D., a Medical Corporation

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A109316 Issued in CA

Legal business name

BRIAN R. GANTWERKER, M.D., A MEDICAL CORPORATION

Practice address

2811 Wilshire Blvd
Suite 840
Santa Monica, CA 90403-4807

Phone

(310) 694-8300

Fax

(310) 694-8357

NPI assigned

Feb 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Brian Randall Gantwerker, M.D.

Title

President

Phone

(310) 694-8300

Specialties & licenses 1

Addresses

Other names 1

• The Craniospinal Center of Los Angeles Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul S. Dwan, M.D.

  • Neurological Surgery Physician
  • Pacific Palisades, CA
  • NPI 1275551897
  NPD (past)

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1639475759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900492209",
            "telephone_number": "310-694-8300",
            "fax_number": "310-694-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD",
            "address_2": "SUITE 840",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034807",
            "telephone_number": "310-694-8300",
            "fax_number": "310-694-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN R. GANTWERKER, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "GANTWERKER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-694-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A109316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Craniospinal Center of Los Angeles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brentwood Urgent Care
• Rachel Ellen Bressler Deese, RN, MN
• Philip Michael Bretsky, MD, PHD
• Heather Brewer, MA
• Jessica Lin Brewer, P.A.
• Elaine Hope Bridge
• Bridges to Recovery II LLC
• Alec Bridges, LAC
• Deborah Marie Briem, LMFT
• Bright Dental Corp

• Neurological Surgery Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.