DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ROY GORDON BRYAN M.D.

MEDICARE: ROY GORDON BRYAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085N0700XNeuroradiology Physician68651CT
22085R0202XDiagnostic Radiology Physician04-53006KS
32085R0202XDiagnostic Radiology PhysicianA124590CA
42085R0202XDiagnostic Radiology Physician68651CT
52085R0202XDiagnostic Radiology Physician257014MA
62085R0202XDiagnostic Radiology Physician45102OK
72085R0202XDiagnostic Radiology Physician251258MA
82085N0700XNeuroradiology PhysicianA124590CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396021648
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROY GORDON BRYAN M.D.
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-5631
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 MOODY CT STE 200
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91360-6082
Country : US
Telephone Number : 310-301-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2011
Last Update Date : 06/04/2026

Similar Medicare Providers

1497765309 — DR. STEVEN P MCCARTHY M.D.
Practice Location Address:
100 MOODY CT STE 200
THOUSAND OAKS, CA
91360-6082
Practice Phone: 805-418-3500
Practice Fax: 805-418-3505
1114035128 — DR. MICHAEL J. ALBERTSON M.D.
Practice Location Address:
100 MOODY CT STE 200
THOUSAND OAKS, CA
91360-6082
Practice Phone: 805-418-3500
Practice Fax: 805-418-3505
1992801716 — CORINNA MOSHER M.D.
Practice Location Address:
100 MOODY CT STE 200
THOUSAND OAKS, CA
91360-6082
Practice Phone: 805-418-3500
Practice Fax:
1942355854 — DR. MICHAEL J DORSI MD
Practice Location Address:
100 MOODY CT STE 200
THOUSAND OAKS, CA
91360-6082
Practice Phone: 310-319-3475
Practice Fax:
1912177759 — DR. JOSE-NITRAM PANGILINAN ALILING M.D.
Practice Location Address:
100 MOODY CT STE 200
THOUSAND OAKS, CA
91360-6082
Practice Phone: 805-418-3500
Practice Fax: 215-456-3898
1952667040 — NEEMA HEIVAND
Practice Location Address:
100 MOODY CT STE 200
THOUSAND OAKS, CA
91360-6082
Practice Phone: 805-418-3500
Practice Fax: 805-418-3505

Directions to “ ROY GORDON BRYAN M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.