DR. BEVERLY GAIL HARRELL-BRUDER M.D.
NPI 1619907581
Emergency Medicine in Chula Vista, CA
About Dr. Beverly Gail Harrell-bruder M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BEVERLY GAIL HARRELL-BRUDER M.D. (NPI 1619907581) is an individual emergency medicine provider in Chula Vista, California, licensed in California (G65023) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1984).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Beverly Gail Harrell-bruder M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Beverly Harrell-bruder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chula Vista, CA 91910
- Reassigned Medicare billing, California enrollment
- 577 clinicians in this Medicare group
Chula Vista, CA 91910
- Reassigned Medicare billing, California enrollment
- 44 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91910 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHULA VISTA, CA 91910
CHULA VISTA, CA 91910
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Beverly Harrell-bruder's NPI number?
The NPI number for Beverly Harrell-bruder is 1619907581. It was assigned to this individual provider in the NPPES registry on July 4, 2006.
Where is Beverly Harrell-bruder located?
Beverly Harrell-bruder practices at 435 H St, Chula Vista, CA 91910. The listed phone number is (619) 691-7290.
What is Beverly Harrell-bruder's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Beverly Harrell-bruder enrolled in Medicare?
Yes. Beverly Harrell-bruder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Beverly Harrell-bruder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Harrell-bruder reassigns Medicare benefits to 2 organizations: Centro De Salud De La Comunidad De San Ysidro, Inc. (Chula Vista, CA) and Chula Vista Emergency Room Physicians, A Medical Corporation (Chula Vista, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Beverly Harrell-bruder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Beverly Harrell-bruder was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Beverly Gail Harrell-Bruder, M.D. · NPI 1619907581
Emergency Medicine physician in Chula Vista, California. Individual provider, active in the CMS NPPES registry since July 4, 2006.
## Identity
- **NPI:** 1619907581 (Entity type: Individual)
- **Enumerated:** July 4, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** G65023 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 435 H ST, Chula Vista, CA 91910-4307
- **Phone:** (619) 691-7290 · **Fax:** (619) 691-7432
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Centro De Salud De La Comunidad De San Ysidro, Inc. (NPI 1902587298, Chula Vista, CA); Chula Vista Emergency Room Physicians, A Medical Corporation (NPI 1780021782, Chula Vista, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** George Washington University School Of Medicine, class of 1984
## Record status
- **NPPES last updated:** June 27, 2008
- **Other identifiers:** Medicaid 00G650230 (CA); Medicare PIN WG65023A (CA); Medicare UPIN H73575 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1619907581) · Data from the CMS NPPES public registry.