Active NPI
Bruce Allen Gross, D.O.
- Emergency Medicine Physician
- Salida, CO
National Provider Identifier
1013967355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 26498
- Practice address
- 1000 Rush Dr
Salida, CO 81201-9627 - Phone
- (719) 530-2200
- NPI assigned
- May 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 26498 | CO | Primary |
Addresses
Primary practice location
1000 Rush Dr
Salida, CO 81201-9627
Mailing address
1000 Rush Dr
Salida, CO 81201-9627
Phone (719) 530-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01264985 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinidad Area Health Association | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Trinidad, CO
- NPI 1467400309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382313600000",
"number": "1013967355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 RUSH DR",
"city": "SALIDA",
"state": "CO",
"postal_code": "812019627",
"telephone_number": "719-530-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 RUSH DR",
"city": "SALIDA",
"state": "CO",
"postal_code": "812019627",
"telephone_number": "719-530-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "BRUCE",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2013-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "26498",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01264985",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salida, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.