Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1902801301 Deactivated / Inactive NPI Male Practitioner

Dr. Bruce M Stark , MD

Internal Medicine • Burbank, CA

✓ Accepts Medicare Assignment Telehealth Available
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bruce Stark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 14, 2005
NPI Deactivation Date March 21, 2006
Total Practice Duration ~16 Years of Practice (1990 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Stark, MD was a registered Internal Medicine in Burbank, CA. Prior to record deactivation on 2006-03-21, Dr. Stark completed approximately 16 years of clinical practice following graduation from Un Of California, Irvine, College Of Medicine in 1990.

Dr. Stark was affiliated with Premiere Medical Center Of Burbank, Inc and accepted Medicare assignment . Telehealth and virtual consultation options were offered for eligible patients.

Historical Medicare Part B clinical services included established patient outpatient office visit, injection, ketorolac tromethamine, per 15 mg, insertion of needle into vein for collection of blood sample. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

201 S Buena Vista St
Suite 300

Burbank, CA 915054569

Telephone 8188427145
Fax 8188428202
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Un Of California, Irvine, College Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Burbank, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs +10.2 yrs vs City Avg
City Avg: 25.8 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
66 Specialists

Practicing in Burbank, CA (18502 Statewide)

Telehealth Adoption Rate
45.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
54.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stark (36 Years) 36 Yrs
Burbank Specialty Average (25.8 Years) 25.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
1,045 228 $130.00 $116.14
J1885 Injection, ketorolac tromethamine, per 15 mg
330 36 $20.00 $0.70
36415 Insertion of needle into vein for collection of blood sample
208 133 $15.00 $8.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
169 123 $25.00 $7.61
80061 Blood test, lipids (cholesterol and triglycerides)
137 112 $38.00 $13.12
84443 Blood test, thyroid stimulating hormone (TSH)
134 108 $48.00 $16.46
84439 Thyroxine (thyroid chemical), free
133 107 $26.00 $8.84
84481 Thyroid hormone, t3 measurement, free
132 106 $48.00 $16.60
80048 Blood test, basic group of blood chemicals (calcium, total)
128 106 $45.00 $8.29
83036 Hemoglobin A1C level
127 101 $45.00 $9.52
83540 Iron level
121 100 $19.00 $6.34
82728 Ferritin (blood protein) level
121 100 $40.00 $13.36
84466 Transferrin (iron binding protein) level
121 100 $40.00 $12.50
82746 Folic acid level
120 100 $42.00 $14.41
80076 Liver function blood test panel
120 103 $23.00 $8.01
82306 Vitamin d-3 level
118 99 $85.00 $29.01
82607 Cyanocobalamin (vitamin B-12) level
117 99 $43.00 $14.78
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
115 30 $18.39 $0.96
84550 Uric acid level, blood
80 64 $13.00 $4.43
86430 Rheumatoid factor analysis
79 63 $17.00 $6.02
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated
78 63 $22.00 $4.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
76 29 $30.00 $14.65
99213 Established patient office or other outpatient visit, typically 15 minutes
72 61 $95.00 $82.36
93000 Routine ekg using at least 12 leads including interpretation and report
69 55 $80.00 $14.62
81000 Manual urinalysis test with examination using microscope, non-automated
67 55 $9.00 $3.94
84403 Testosterone (hormone) level, total
67 52 $73.00 $25.29
80053 Blood test, comprehensive group of blood chemicals
50 40 $51.00 $10.35
20610 Aspiration and/or injection of fluid from large joint
49 23 $175.00 $60.19
86141 Measurement c-reactive protein for detection of infection or inflammation, high sensitivity
40 38 $37.00 $12.69
82670 Measurement of total estradiol (hormone)
39 31 $79.00 $27.38
83090 Homocysteine (amino acid) level
39 37 $48.00 $17.56
83525 Insulin measurement, total
38 34 $45.00 $11.20
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
35 11 $25.00 $1.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
34 34 $250.00 $127.61
87637 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus
19 18 $225.00 $139.78
84153 Psa (prostate specific antigen) measurement, total
17 15 $60.00 $18.02
71045 X-ray of chest, 1 view
16 16 $90.00 $27.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
15 13 $200.00 $181.01
83001 Gonadotropin, follicle stimulating (reproductive hormone) level
15 13 $53.00 $18.21
83002 Gonadotropin, luteinizing (reproductive hormone) level
15 13 $53.00 $18.15
84144 Progesterone (reproductive hormone) level
15 13 $59.00 $20.44
84146 Prolactin (milk producing hormone) level
15 13 $55.00 $18.99
82533 Cortisol (hormone) measurement
12 12 $33.00 $15.97
G0008 Administration of influenza virus vaccine
12 12 $30.00 $29.40
71046 X-ray of chest, 2 views
11 11 $110.00 $35.54

Medical Specialties & State Licenses

CMS Verified: 2023-10-13
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA G72204

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Addiction Medicine

NUCC Taxonomy Code: 207RA0401X

State License CA G72204

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00G722040 (CA)

Hospital & Practice Group Affiliations

Premiere Medical Center Of Burbank, Inc

4418 Vineland Ave, Toluca Lake, CA 916023457

Premiere Medical Center Of Burbank, Inc

4418 Vineland Ave, Toluca Lake, CA 916023457

Phone: 8188427145

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Jennifer Lee , AGNP

Nurse Practitioner

NPI 1013423805

Adult-Gerontology Nurse Practitioner

Elizabeth Kirby

Physical Therapist

NPI 1285015867
NPI 1437182185

Doctor of Medicine (M.D.)

Allen Bordman , FNP-C

Nurse Practitioner - Family

NPI 1487584793

Family Nurse Practitioner (Certified)

Lawrence Burroughs

Physical Therapist

NPI 1497135339
NPI 1598788754

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location August 29, 2013

Registered at 201 S BUENA VISTA ST, SUITE 300, BURBANK, CA 915054569 (Tel: 8188427145)

📍
Updated Business Mailing Address August 29, 2013

Registered at 201 S BUENA VISTA ST, SUITE 300, BURBANK, CA 915054569 (Tel: 8188427145)

👤
Provider Name / Credentials Updated August 29, 2013

Recorded as BRUCE STARK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2013

Internal Medicine (License #G72204 in CA)

🔄
NPI Profile Reactivated April 05, 2006

Record officially reactivated for active practice on April 05, 2006

⚠️
NPI Profile Deactivated March 21, 2006

Record deactivated on March 21, 2006

🟢
Initial NPI Registration & Enumeration June 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902801301
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2005
Last Update: October 13, 2023
Deactivation Date: March 21, 2006
Sole Proprietor: No

Mailing Address

201 S Buena Vista St, Suite 300

Burbank, CA 915054569

Phone: 8188427145

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.