NPIMap

Organization Active NPI

Bruce Bever DPM LLC

  • Podiatrist
  • Park City, IL
National Provider Identifier
1033806344
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
BRUCE BEVER DPM LLC
Practice address
351 Greenleaf St Ste C
Park City, IL 60085-5701
Phone
(312) 498-1585
NPI assigned
Apr 18, 2023
Last updated
Apr 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Dr. Bruce A Bever, DPMNPI 1841723145
Title
Principal/Ceo
Phone
(312) 498-1585

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
Podiatrist 213E00000X Primary

Addresses

Primary practice location

351 Greenleaf St Ste C
Park City, IL 60085-5701

Mailing address

351 Greenleaf St Ste C
Park City, IL 60085-5701
Phone (312) 498-1585

Other identifiers 1

IdentifierTypeStateIssuer
1841723145OtherILNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1033806344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 GREENLEAF ST STE C",
            "city": "PARK CITY",
            "state": "IL",
            "postal_code": "600855701",
            "telephone_number": "312-498-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 GREENLEAF ST STE C",
            "city": "PARK CITY",
            "state": "IL",
            "postal_code": "600855701",
            "telephone_number": "312-498-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE BEVER DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "BEVER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRINCIPAL/CEO",
        "authorized_official_telephone_number": "312-498-1585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841723145",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.