Brian M Cleary, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G36961 Issued in CA

Practice address

415 S Palm Canyon Dr
Palm Springs, CA 92262-7303

Phone

(760) 773-4560

Fax

(760) 773-4561

NPI assigned

Oct 3, 2006

Last updated

Feb 24, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gastrointestinal Assoc a Medical Group Inc

  • Gastroenterology Physician
  • Palm Springs, CA
  • NPI 1023102969
  NPD (past) Authorized official
• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  NPD (past)
• Eisenhower Medical Center

  dba Eisenhower

  • General Acute Care Hospital
  • Palm Springs, CA
  • NPI 1801291539
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1972697829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S PALM CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627303",
            "telephone_number": "760-773-4560",
            "fax_number": "760-773-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S PALM CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627303",
            "telephone_number": "760-773-4560",
            "fax_number": "760-773-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "BRIAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G36961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G369610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omar Ciriaco Martinez
• Edwin Cisneros
• Michael J Clapper, D.D.S.
• Stacy Clarke, AMFT
• James Wesley Clayton, CRNA
• Richard Clifford III, DO
• Lauren Closas
• James Freemean Cloud, M.F.T.
• CNRC, LLC (California Nursing and Rehabilitation Center)
• Lisa Co, PHARM. D.

• Gastroenterology Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.