Active NPI
Bruce Winter, MD
- Anesthesiology Physician
- Providence, RI
National Provider Identifier
1063459097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD6626
- Practice address
- 101 Dudley St
Women & Infants Hospital
Providence, RI 02905-2401 - Phone
- (401) 274-1122
- Fax
- (401) 453-7533
- NPI assigned
- May 31, 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD6626 | RI | Primary |
Addresses
Primary practice location
101 Dudley St
Women & Infants Hospital
Providence, RI 02905-2401
Mailing address
PO Box 603314
Providence, RI 02906-0714
Phone (401) 274-8110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7000638 | Medicaid | RI |
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 |
|---|---|---|---|
| MD6626 | RI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Inc | Anesthesiology | 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.
-
- Anesthesiology Physician
- Providence, RI
- NPI 1669409561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1063459097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603314",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029060714",
"telephone_number": "401-274-8110",
"fax_number": "401-861-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DUDLEY ST",
"address_2": "WOMEN & INFANTS HOSPITAL",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029052401",
"telephone_number": "401-274-1122",
"fax_number": "401-453-7533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTER",
"first_name": "BRUCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "RI",
"license": "MD6626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7000638",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.