Howard D. Backer, MD
Individual provider Active NPI Emergency Medicine Physician · Berkeley, CA
NPI 1962580712 · NPPES record last updated Sep 19, 2020
Key facts
- NPI
- 1962580712
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- G31950 (CA)
- Practice address
- 2222 Bancroft Way
Berkeley, CA 94720-4235 - Phone
- (510) 642-6621
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G31950 | CA | MD | Emergency Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G31950 | CA | Yes |
Addresses
Primary practice location
2222 Bancroft Way
Berkeley, CA 94720-4235
Mailing address
1800 Harrison St FL 7
Oakland, CA 94612-3429
Phone (510) 625-6262
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G319500 | Medicaid | CA |
Other providers in Berkeley, CA
- Emily Alexia Azmitia
- Victoria Baca
- Carolina Bacchi
- Noah Bach Bar-Tura
- Anita Backer
- Briahn Bariya Badelle
- Trissa Baden
- Catherine Bae
- Janis Baeuerlen
- Alanna Elizabeth Baginski
All providers in Berkeley, CA · Emergency Medicine 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 Sep 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.