Active NPI
Bruce R Dziura, MD
- Anatomic Pathology Physician
- Springfield, MA
National Provider Identifier
1053338657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 44997
- Practice address
- 299 Carew St
Springfield, MA 01104-2301 - Phone
- (413) 748-9513
- Fax
- (413) 748-6844
- NPI assigned
- Jul 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 44997 | MA | |
| Anatomic Pathology Physician | 207ZP0101X | 44997 | MA | Primary |
Addresses
Primary practice location
299 Carew St
Springfield, MA 01104-2301
Mailing address
PO Box 789
Ludlow, MA 01056-0789
Phone (413) 509-1000
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000020248 | Other | MA | BMC-HEALTHNET |
| 11988 | Other | MA | HEALTH NEW ENGLAND |
| 449970 | Other | MA | CONNECTICARE |
| 6182151 | Medicaid | MA | |
| J03496 | Other | MA | BLUE CROSS OF MA |
| 351643 | Other | MA | HARVARD PILGRIM |
| 044997 | Other | MA | TUFTS |
| 98149201 | Other | MA | NETWORK HEALTH |
| 02681827 | Medicaid | NY | |
| 220031586 | Other | MA | RAILROAD MEDICARE |
| 0024836 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 30206819 | Medicaid | NH |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44997 | MA | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Group of Western New England, P.C. | Cytopathology | Current | Accepting new patients |
| New England Pathology Associates, PC | Cytopathology | Past | Accepting new patients |
| Baystate Medical Practices, Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Urology Physician
- Springfield, MA
- NPI 1730263039
Cytopathology
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
-
- Cytopathology Physician
- Springfield, MA
- NPI 1144431792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1053338657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 789",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010560789",
"telephone_number": "413-509-1000",
"fax_number": "413-509-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 CAREW ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011042301",
"telephone_number": "413-748-9513",
"fax_number": "413-748-6844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DZIURA",
"first_name": "BRUCE",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "MA",
"license": "44997",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MA",
"license": "44997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC-HEALTHNET",
"identifier": "000000020248",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "11988",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "449970",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6182151",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MA",
"identifier": "J03496",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "351643",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "044997",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "98149201",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02681827",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "220031586",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0024836",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30206819",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.