Active NPI
Bruce C Slagle, M.D.
- Hospitalist Physician
- Sayre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 158861
- Practice address
- 1 Guthrie SQ
Sayre, PA 18840-1625 - Phone
- (570) 888-5858
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 158861 | NY | |
| Hospitalist Physician | 208M00000X | 158861 | NY | Primary |
Addresses
Primary practice location
1 Guthrie SQ
Sayre, PA 18840-1625
Mailing address
134 Homer Ave
Cortland, NY 13045-1206
Phone (607) 758-8019
Other practice location 1
1801 Black River Blvd N
Rome, NY 13440-2427
Phone (315) 337-3770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00968772 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bslagle162503@direct-guthrie.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158861 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Family Medicine | Current | Accepting new patients |
| Gloversville Physician Medicine Services PC | Hospitalist | Current | Accepting new patients |
| Ny Acute Care Specialists PC | Hospitalist | Past | Accepting new patients |
Locations
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
134 Homer Ave
Cortland, NY 13045
Phone (607) 756-3500
99 E State St
Gloversville, NY 12078
Phone (518) 773-5690
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
Interoperability endpoints
- bslagle162503@direct-guthrie.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Gloversville, NY
- NPI 1487907630
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- Hospitalist Physician
- Rome, NY
- NPI 1528377892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1003888967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 HOMER AVE",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130451206",
"telephone_number": "607-758-8019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUTHRIE SQ",
"city": "SAYRE",
"state": "PA",
"postal_code": "188401625",
"telephone_number": "570-888-5858"
}
],
"practiceLocations": [
{
"address_1": "1801 Black River Blvd N",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "NY",
"postal_code": "134402427",
"country_code": "US",
"telephone_number": "315-337-3770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLAGLE",
"first_name": "BRUCE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2021-03-31",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "158861",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "158861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00968772",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bslagle162503@direct-guthrie.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1 Guthrie Sq",
"city": "Sayre",
"state": "PA",
"country_code": "US",
"postal_code": "188401625",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sayre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.