Active NPI
Bruce A. Lockwitz, M.D.
- Rheumatology Physician
- Elkhart, IN
National Provider Identifier
1043213689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 01033883A
- Practice address
- 303 S Nappanee St
Elkhart, IN 46514-2066 - Phone
- (574) 296-3307
- Fax
- (574) 296-3928
- NPI assigned
- May 27, 2005
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 01033883A | IN | Primary |
| Internal Medicine Physician | 207R00000X | 01033883A | IN |
Addresses
Primary practice location
303 S Nappanee St
Elkhart, IN 46514-2066
Mailing address
PO Box 2968
Elkhart, IN 46515-2968
Phone (574) 296-3307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100112850A | Medicaid | IN |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01033883A | IN | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244505600000",
"number": "1043213689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2968",
"city": "ELKHART",
"state": "IN",
"postal_code": "465152968",
"telephone_number": "574-296-3307",
"fax_number": "574-296-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S NAPPANEE ST",
"city": "ELKHART",
"state": "IN",
"postal_code": "465142066",
"telephone_number": "574-296-3307",
"fax_number": "574-296-3928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKWITZ",
"first_name": "BRUCE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2009-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "IN",
"license": "01033883A",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01033883A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100112850A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.