Brian Beitel, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Highland, CA
NPI 1710922141 · NPPES record last updated Apr 6, 2015
Key facts
- NPI
- 1710922141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- A65151 (CA)
- Practice address
- 7000 Boulder Ave
Highland, CA 92346-3348 - Phone
- (909) 862-1191
- Fax
- (909) 796-4158
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Loma Linda University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beaver Medical Group P C
Practice addresses (Care Compare)
2 W Fern Ave
Redlands, CA 92373-5916
Phone (909) 793-3311
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090219000026 | CA | Practitioner - Obstetrics/Gynecology | 7618032004 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A65151 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Medical Group P C | Current |
Accepting new patients | |
| Beaver Medical Group P C | Obstetrics & Gynecology | Current |
Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Beaver Medical Group P C | Past | Accepting new patients | |
| Redlands Community Hospital | Past | Accepting new patients |
Locations
7000 Boulder Ave
Highland, CA 92346
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
Interoperability endpoints
- bbeitel11067@epiclp.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A65151 | CA | Yes |
Addresses
Primary practice location
7000 Boulder Ave
Highland, CA 92346-3348
Mailing address
PO Box 10069
San Bernardino, CA 92423-0069
Phone (909) 335-4188
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A651510 | Medicaid | CA |
Other providers in Highland, CA
- Jenna Raelene Baumann
- Beaver Medical Group LP
- Beaver Medical Group P C
- Beaver Medical Group, LP
- Claudia Virginia Becerra
- John Beld
- Marian N.B. Beshara
- Lizbet Betancio
- Xiomara Betanco
- Jo Devenne Elek Sullano Bilbao
All providers in Highland, CA · Obstetrics & Gynecology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.