DR. BRUCE M STARK (M.D.) – Internal Medicine Physician, NPI 1902801301

DR. BRUCE M STARK (M.D.) is a healthcare provider. based in Burbank, California. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. G72204 (CA). The NPI Number for DR. BRUCE M STARK (M.D.) is 1902801301

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRUCE M STARK (M.D.)
NPI
1902801301
Phone
(818) 842-7145
Address
201 S BUENA VISTA ST
Enumeration Date
14 June 2005
Deactivation Date
21 March 2006
Reactivation Date
5 April 2006
Last Update Date
13 October 2023

Doctor Profile

Medical School Name
UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
4183514854
Group Practice PAC ID
4688709744
Professional Enrollment ID
I20040317000318
Address ID
CA916023457To4418XAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for DR. BRUCE M STARK (M.D.)

  • 201, South Buena Vista Street, Burbank, Los Angeles County, California, 91505, United States

    SUITE 300

    BURBANK, CA 915054569

    Phone: (818) 842-7145

    Fax: (818) 842-8202

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $1,790.

Total Amount is formed as General ($1,790) + Research ($0) + Ownership ($0) = $1,790.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Gilead Sciences, Inc. ($156).

Total Amount

$1,790

General + Research + Ownership

Payments

79

Total payment records

General Amount

$1,790

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040317000318IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes987224$0
36415Insertion of needle into vein for collection of blood sample254152$0
99213Established patient office or other outpatient visit, 20-29 minutes234130$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count212141$0
84443Blood test, thyroid stimulating hormone (tsh)154121$0
View full utilization report →

Insurance plans in this area (ZIP 91505)

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Provider's Procedures

DR. BRUCE M STARK (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINECA83036Hemoglobin A1C level10181

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688709744View full group profile

Reviews

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Frequently asked questions

Does DR. BRUCE M STARK (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. BRUCE M STARK (M.D.) uses 1902801301.
Does CMS list DR. BRUCE M STARK (M.D.) as active?
Yes — DR. BRUCE M STARK (M.D.) is active in the NPI listing used on this page.
What healthcare role does DR. BRUCE M STARK (M.D.) hold?
Scheduling teams often label DR. BRUCE M STARK (M.D.) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. BRUCE M STARK (M.D.) list a practice location?
Patients near Burbank, California may find DR. BRUCE M STARK (M.D.) in results; validate coverage separately.
Why does DR. BRUCE M STARK (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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