Organization Active NPI

Bruce I Lerman DPM, Inc

  • Foot & Ankle Surgery Podiatrist
  • Los Gatos, CA
National Provider Identifier
1033434204
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000E29960 Issued in CA
Legal business name
BRUCE I LERMAN DPM, INC
Practice address
555 Knowles Dr Ste 117
Los Gatos, CA 95032-1542
Phone
(408) 379-8450
Fax
(408) 379-2672
NPI assigned
Mar 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Bruce Ian Lerman, DPMNPI 1467486803
Title
Owner
Phone
(408) 379-8450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 000E29960 CA Primary

Addresses

Primary practice location

555 Knowles Dr Ste 117
Los Gatos, CA 95032-1542

Mailing address

555 Knowles Dr Ste 117
Los Gatos, CA 95032-1542
Phone (408) 292-8800

Other practice location 1

333 OConnor Dr
San Jose, CA 95128-1623
Phone (408) 292-8800

Other names 1

  • Bruce I Lerman DPM Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100405000219 CA Part B Supplier - Clinic/Group Practice 6901932664 Receives reassigned benefits from 6 practitioners
Practice locations: Los Gatos, CA
O20100930055648 CA DME Supplier - Physician - Podiatry 6901932664 1 other NPI on this enrollment
Practice locations: Los Gatos, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0910540Bruce I Lerman, DPM, Inc555 Knowles Dr, #117, Los Gatos, CA 95032Provider-performed microscopyJan 10, 2028

National Provider Directory

National Provider Directory

Locations

2101 Forest Ave
Ste 118
San Jose, CA 95128
Phone (408) 292-8800

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1033434204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 KNOWLES DR STE 117",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321542",
            "telephone_number": "408-292-8800",
            "fax_number": "408-292-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 KNOWLES DR STE 117",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321542",
            "telephone_number": "408-379-8450",
            "fax_number": "408-379-2672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 OConnor Dr",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281623",
            "country_code": "US",
            "telephone_number": "408-292-8800",
            "fax_number": "408-292-8809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRUCE I LERMAN DPM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "LERMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-379-8450",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "000E29960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruce I Lerman DPM",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bruce I Lerman DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.