Individual provider Active NPI

Bruce Silver, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Berkeley, CA
National Provider Identifier
1679545743
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
G127838 Issued in CA
Practice address
1510 4TH St 1
Berkeley, CA 94710-1717
Phone
(510) 525-8980
Fax
(510) 525-8982
NPI assigned
Feb 3, 2006
Last updated
Apr 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X G127838 CA Primary
Internal Medicine Physician 207R00000X G127838 CA

Addresses

Primary practice location

1510 4TH St 1
Berkeley, CA 94710-1717

Mailing address

1510 4TH St 1
Berkeley, CA 94710-1717
Phone (510) 525-8980

Other identifiers 2

IdentifierTypeStateIssuer
232359401OtherPAMAIN LINE HEALTHCARE
000763798MedicaidPA

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
I20140422001469 CA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 2062414048 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G127838CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 West LLC CurrentSince Aug 1, 2024 Accepting new patients
California Post-Acute Medical Group 1, Inc. CurrentSince Nov 6, 2017 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince Nov 6, 2017 Accepting new patients
Ca Pacs 2 Medical Group Inc CurrentSince Sep 29, 2020 Accepting new patients
Inpatient Consultants of California, Inc. Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
CS Pacs 3 Ca Medical Group Inc Internal Medicine CurrentSince Feb 4, 2025 Accepting new patients

Locations

21863 Vallejo St
Cherryland, CA 94541
Phone (510) 481-3200

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

1855 Miramonte Ave
Mountain View, CA 94040
Phone (650) 961-6484

302 Silver Ave
San Francisco, CA 94112
Phone (415) 334-2500

1601 Petersen Ave
San Jose, CA 95129
Phone (408) 253-7502

2295 Plummer Ave
San Jose, CA 95125
Phone (408) 269-0701

2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300

2620 Flores St
San Mateo, CA 94403
Phone (650) 349-2161

45 Professional Center Pkwy
San Rafael, CA 94903
Phone (415) 479-3610

1115 Capitola Rd
Santa Cruz, CA 95062
Phone (831) 475-4055

20400 Saratoga Los Gatos Rd
#R
Saratoga, CA 95070
Phone (408) 741-2950

1002 W Fremont Ave
Sunnyvale, CA 94087
Phone (408) 739-2383

2200 Tuolumne St
Vallejo, CA 94589
Phone (707) 644-7401

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

7391 W Charleston Blvd
Ste 140
Las Vegas, NV 89117
Phone (702) 233-0684

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1679545743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 4TH ST 1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101717",
            "telephone_number": "510-525-8980",
            "fax_number": "510-525-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 4TH ST 1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101717",
            "telephone_number": "510-525-8980",
            "fax_number": "510-525-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVER",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G127838",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G127838",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAIN LINE HEALTHCARE",
            "identifier": "232359401",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000763798",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.