Individual provider Active NPI

Bret James Langenberg, DO, FACS

  • Surgery Physician
  • San Diego, CA
National Provider Identifier
1720014038
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20A9381 Issued in CA
Practice address
4033 3Rd Ave Ste 204
San Diego, CA 92103-2130
Phone
(619) 295-8677
Fax
(619) 295-7935
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20A9381 CA Primary

Addresses

Primary practice location

4033 3Rd Ave Ste 204
San Diego, CA 92103-2130

Mailing address

4033 3Rd Ave Ste 204
San Diego, CA 92103-2130
Phone (619) 295-8677

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
I20060913000312 CA Practitioner - General SurgeryPractitioner - Osteopathic Manipulative Medicine 7416951082 Reassigns benefits to 5 organizations
Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Osteopathic Manipulative Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Call Specialists Medical Group of San Diego IncGroup PAC ID 7911395231, 145 clinicians

Practice addresses (Care Compare)

4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 359-6600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9381CAMDAcupuncturist
20A9381CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health CurrentSince Jan 15, 2007 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 1, 2010 Accepting new patients
Scripps Health Current Accepting new patients
Pacific Coast Surgical Group Surgery CurrentSince Feb 10, 2021 Accepting new patients
On Call Specialists Medical Group of San Diego, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Scripps Health Current Accepting new patients
United Medical Doctors CurrentSince Jun 1, 2025 Accepting new patients
United Medical Doctors CurrentSince Jun 1, 2025 Accepting new patients
Scripps Health CurrentSince Jan 15, 2007 Accepting new patients

Locations

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

40663 Murrieta Hot Springs Rd
Ste C1
Murrieta, CA 92562
Phone (951) 200-6791

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

4033 3rd Ave
Ste 204
San Diego, CA 92103
Phone (619) 295-8677

650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
  • Direct secure messaging: blangenberg28102@scrippshlth.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFHEBD/Endpoint/BFHEBD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1720014038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 3RD AVE STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032130",
            "telephone_number": "619-295-8677",
            "fax_number": "619-295-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 3RD AVE STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032130",
            "telephone_number": "619-295-8677",
            "fax_number": "619-295-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGENBERG",
        "first_name": "BRET",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DO, FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A9381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.