Individual provider Active NPI

Bradley I. Spiegel, M.D.

  • Anesthesiology Physician
  • Thousand Oaks, CA
National Provider Identifier
1760491039
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G62100 Issued in CA
Practice address
415 East Rolling Oaks Drive
Suite#115
Thousand Oaks, CA 91361-1036
Phone
(805) 230-3166
Fax
(602) 298-2686
NPI assigned
Aug 5, 2006
Last updated
Jul 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G62100 CA Primary

Addresses

Primary practice location

415 East Rolling Oaks Drive
Suite#115
Thousand Oaks, CA 91361-1036

Mailing address

415 East Rolling Oaks Drive
Suite#115
Thousand Oaks, CA 91361-1036
Phone (805) 230-3166

Other identifiers 4

IdentifierTypeStateIssuer
GR0052481MedicaidCA
OOG621000MedicaidCA
00G621001MedicaidCA
GR0052480MedicaidCA

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
I20050706000247 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 7214973833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
New York Medical College
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alexander P Hersel MD IncGroup PAC ID 3678550795, 7 clinicians

Practice addresses (Care Compare)

1120 Newbury Rd
Thousand Oaks, CA 91320-3663
Phone (805) 557-0096

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.32 of 100Reported as group
Quality
34
Promoting interoperability
77
Improvement activities
40
Cost
59.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G62100CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander P. Hersel, M.D., Inc Anesthesiology CurrentSince Apr 8, 2012 Accepting new patients
Trias Global, LLC Past Accepting new patients

Locations

2336 Santa Monica Blvd
Ste 208
Santa Monica, CA 90404
Phone (310) 453-0033

1120 Newbury Rd
Thousand Oaks, CA 91320
Phone (310) 901-2383

1120 Newbury Rd
Ste 100
Thousand Oaks, CA 91320
Phone (805) 230-3100

1120 Newbury Rd
Ste 150
Thousand Oaks, CA 91320
Phone (805) 557-0096

Interoperability endpoints

  • Direct secure messaging: bradleyspiegel@pmirmc.allscriptsdirect.net

Organizations & group practices 2

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.

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1760491039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 EAST ROLLING OAKS DRIVE",
            "address_2": "SUITE#115",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611036",
            "telephone_number": "805-230-3166",
            "fax_number": "602-298-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 EAST ROLLING OAKS DRIVE",
            "address_2": "SUITE#115",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611036",
            "telephone_number": "805-230-3166",
            "fax_number": "602-298-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIEGEL",
        "first_name": "BRADLEY",
        "middle_name": "I.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G62100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0052481",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG621000",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G621001",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0052480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.