Active NPI
Brynie S Collins, MD
- Pediatric Gastroenterology Physician
- Encino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- A80600
- Practice address
- 5363 Balboa Blvd
Suite 540
Encino, CA 91316-2805 - Phone
- (818) 905-6628
- Fax
- (818) 905-6610
- NPI assigned
- Apr 8, 2008
- Last updated
- Jul 5, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | A80600 | CA | Primary |
Addresses
Primary practice location
5363 Balboa Blvd
Suite 540
Encino, CA 91316-2805
Mailing address
5363 Balboa Blvd
Suite 540
Encino, CA 91316-2805
Phone (818) 905-6628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A80600 | CA | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brynie Slome Collins MD, Inc | Pediatric Gastroenterology | Current | Accepting new patients |
| Ron Bahar, MD, a Medical Corporation | Pediatric Gastroenterology | Past | Accepting new patients |
| Childrens Hospital of Los Angeles | Past | Accepting new patients | |
| Children's Hospital Los Angeles | Past | Accepting new patients | |
| Children's Hospital of Orange County | Past | Accepting new patients | |
| Tarzana Medical Center LLC | Past | Accepting new patients |
Locations
5363 Balboa Blvd
Ste 111
Encino, CA 91316
5363 Balboa Blvd
Ste 540
Encino, CA 91316
Phone (818) 905-6600
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Pediatric Gastroenterology Physician
- Encino, CA
- NPI 1497049290
-
- Children's Chronic Disease Hospital
- Los Angeles, CA
- NPI 1366527954
-
dba Rady Children's Hospital Orange County
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
- Children's Hospital
- Los Angeles, CA
- NPI 1124073366
-
- Pediatric Gastroenterology Physician
- Encino, CA
- NPI 1023134210
-
dba Providence Cedars-Sinai Tarzana Medical Center
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1790958015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5363 BALBOA BLVD",
"address_2": "SUITE 540",
"city": "ENCINO",
"state": "CA",
"postal_code": "913162805",
"telephone_number": "818-905-6628",
"fax_number": "818-905-6610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5363 BALBOA BLVD",
"address_2": "SUITE 540",
"city": "ENCINO",
"state": "CA",
"postal_code": "913162805",
"telephone_number": "818-905-6628",
"fax_number": "818-905-6610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "BRYNIE",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-08",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "CA",
"license": "A80600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.