BEAR, HOWARD M (MD)

Provider Demographics

• NPI: 1780658450
• Name: BEAR, HOWARD M (MD)
• Entity Type: Individual
• First Name: HOWARD
• Middle Name: M
• Last Name: BEAR
• Gender: M
• Credentials: MD
• Mailing Address - Street 1: PO BOX 23540
• Mailing Address - City: SAN DIEGO
• Mailing Address - State: CA
• Mailing Address - Zip Code: 92193-3540
• Mailing Address - Country: US
• Mailing Address - Phone: 858-565-0950
• Mailing Address - Fax: 858-244-1100
• Practice Address - Street 1: 8745 AERO DR
• Practice Address - Street 2: STE 200
• Practice Address - City: SAN DIEGO
• Practice Address - State: CA
• Practice Address - Zip Code: 92123-1774
• Practice Address - Country: US
• Practice Address - Phone: 858-565-0950
• Practice Address - Fax: 858-244-1100
• Is Sole Proprietor?: No
• Enumeration Date: 2006-02-17
• Last Update Date: 2007-10-09

Provider Licenses

State	License ID	Taxonomies
CA	A53263	2085N0700X, 2085R0202X, 2085B0100X, 2085U0001X, 2085N0904X, 2085P0229X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	2085R0202X	Allopathic & Osteopathic Physicians	Radiology	Diagnostic Radiology
No	2085N0700X	Allopathic & Osteopathic Physicians	Radiology	Neuroradiology
No	2085B0100X	Allopathic & Osteopathic Physicians	Radiology	Body Imaging
No	2085U0001X	Allopathic & Osteopathic Physicians	Radiology	Diagnostic Ultrasound
No	2085N0904X	Allopathic & Osteopathic Physicians	Radiology	Nuclear Radiology
No	2085P0229X	Allopathic & Osteopathic Physicians	Radiology	Pediatric Radiology

Provider Identifiers

State	Identifier ID	ID Type	Issuer
CA	GR0083810	Medicaid
CA	GR0083815	Medicaid
CA	GR0083816	Medicaid
CA	GR0083811	Medicaid
CA	GR0083812	Medicaid
CA	GR0083814	Medicaid
CA	GR0083813	Medicaid
CA	GR0083817	Medicaid
CA	ZZZ75341Z	Medicaid
	F12497	Medicare UPIN
CA	HW529	Medicare PIN
CA	GR0083811	Medicaid
CA	TD009B	Medicare PIN
CA	GR0083814	Medicaid
CA	GR0083810	Medicaid
CA	GR0083812	Medicaid
CA	TP110	Medicare PIN
CA	TD009A	Medicare PIN
CA	HW529A	Medicare PIN