Individual provider Active NPI

Bruce Cleo Reaves Jr., M.D.

  • Family Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1982091385
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A160353 Issued in CA
Practice address
8767 Wilshire Blvd FL 2
Beverly Hills, CA 90211-2714
Phone
(310) 248-7000
NPI assigned
Apr 23, 2015
Last updated
May 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD463158 PA
Family Medicine Physician 207Q00000X A160353 CA Primary

Addresses

Primary practice location

8767 Wilshire Blvd FL 2
Beverly Hills, CA 90211-2714

Mailing address

1217 S Broad St
Philadelphia, PA 19147-4401
Phone (215) 999-1217

Other practice location 1

417 Baltimore Pike
Springfield, PA 19064
Phone (484) 470-2600

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
I20220217001449 CA Practitioner - Family PracticePractitioner - Geriatric Medicine 2062731359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Howard University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

7077 Willoughby Ave
Suite 3
Los Angeles, CA 90038-2396
Phone (323) 826-5333

8000 W Sunset Blvd
Suite C110
Los Angeles, CA 90046-2439
Phone (213) 412-0400

8767 Wilshire Blvd
FL 2
Beverly Hills, CA 90211-2714
Phone (310) 385-3200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A160353CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
On Demand Urgent Care Group PC CurrentSince Jul 1, 2020 Accepting new patients
Patient First Pennsylvania Medical Group PLLC Family Medicine CurrentSince Aug 9, 2018 Accepting new patients
Patient First Pennsylvania Medical Group PLLC Family Medicine Current Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Feb 14, 2022 Accepting new patients
Patient First Pennsylvania Medical Group PLLC Family Medicine CurrentSince Aug 9, 2018 Accepting new patients
Exer Medical Corporation CurrentSince Feb 1, 2025 Accepting new patients
On Demand Urgent Care Group, PC PastSince May 16, 2022 Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients

Locations

8767 Wilshire Blvd
Fl 2
Beverly Hills, CA 90211
Phone (310) 248-7000

26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

10100 Culver Blvd
Ste E
Culver City, CA 90232
Phone (310) 423-3333

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

5125 Jonestown Rd
Ste 105
Harrisburg, PA 17112
Phone (717) 943-1566

713 Bethlehem Pike
Montgomeryvle, PA 18936
Phone (267) 695-3944

1217 S Broad St
Philadelphia, PA 19147
Phone (215) 999-1217

3356 Aramingo Ave
Philadelphia, PA 19134
Phone (215) 739-6600

6060 Ridge Ave
Ste 100
Philadelphia, PA 19128
Phone (215) 483-6600

417 Baltimore Pike
Springfield, PA 19064
Phone (484) 470-2600

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • Direct secure messaging: breaves330791@direct.cshs.org
  • Direct secure messaging: bruce.reaves@989632778731524.direct.elationemr.com

Organizations & group practices 8

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 2

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": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1982091385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474401",
            "telephone_number": "215-999-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8767 WILSHIRE BLVD FL 2",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112714",
            "telephone_number": "310-248-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 Baltimore Pike",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "19064",
            "country_code": "US",
            "telephone_number": "484-470-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REAVES",
        "first_name": "BRUCE",
        "middle_name": "CLEO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-23",
        "last_updated": "2022-05-11",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD463158",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A160353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.