Bradley J. Aguirre D.P.M.,P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E3310 Issued in CA

Legal business name

BRADLEY J. AGUIRRE D.P.M.,P.C.

Practice address

1818 Verdugo Blvd
Suite 303
Glendale, CA 91208-9976

Phone

(818) 248-2454

Fax

(818) 248-8503

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bradley J Aguirre, DPMNPI 1588775480

Title

Owner

Phone

(818) 248-2454

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Jay Aguirre, D.P.M.

  • Podiatrist
  • Glendale, CA
  • NPI 1588775480
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1871782441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 VERDUGO BLVD",
            "address_2": "SUITE 303",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912089976",
            "telephone_number": "818-248-2454",
            "fax_number": "818-248-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 VERDUGO BLVD",
            "address_2": "SUITE 303",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912089976",
            "telephone_number": "818-248-2454",
            "fax_number": "818-248-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY J. AGUIRRE D.P.M.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-248-2454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serzh Boynagiryan, FNP
• Vahram Boynagiryan, PHARMD
• Holger Ernst Bracht, D.O.
• Susana Stephanie Bracks, ACSW
• Antigone Braddock
• Blanca F. Bradley, LCSW
• Nadine Bradley, RDN
• Brand Diagnostic & Sleep Center Inc.
• Brand Diagnostic Center,Inc
• Brand Home Health Care Inc

• Foot & Ankle Surgery Podiatrist in Glendale, CA
• Providers in Glendale, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.