Bruce Palmer Douglas, M.D.

Primary specialty

Pathology Specialist/TechnologistTaxonomy code 246Q00000X

License

G45929 Issued in CA

Practice address

100 Albright Way Ste C
Los Gatos, CA 95032-1837

Phone

(408) 866-5227

Fax

(408) 866-5228

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gyne Path Lab Inc

  • Clinical Medical Laboratory
  • Los Gatos, CA
  • NPI 1497851471
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1013006444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ALBRIGHT WAY STE C",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321837",
            "telephone_number": "408-866-5227",
            "fax_number": "408-866-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ALBRIGHT WAY STE C",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321837",
            "telephone_number": "408-866-5227",
            "fax_number": "408-866-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "BRUCE",
        "middle_name": "PALMER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Q00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology",
            "state": "CA",
            "license": "G45929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua M Donaldson, N.D.
• Alexis Donato, MFT
• Josephine Doo, M.D.
• Shane Paul Dormady, M.D., PHD
• Veronica Sheree Dorsey
• Kelly Leininger Douglas, LMFT
• Arthur W Douville Jr., M.D.
• Casimir Larkin Dowd, MD
• Sarah Downum, PA-C
• Dr Gaudreau Optometry Corporation

• Pathology Specialist/Technologist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Pathology Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.