NPIMap

Individual provider Active NPI

Bruce J Levine, DPM

  • Durable Medical Equipment & Medical Supplies
  • Clearwater, FL
National Provider Identifier
1063478196
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
2521 Countryside Blvd
Clearwater, FL 33763-1605
Phone
(727) 797-5008
Fax
(797) 791-1330
NPI assigned
Apr 26, 2006
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Foot & Ankle Surgery Podiatrist 213ES0103X PO1802 FL

Addresses

Primary practice location

2521 Countryside Blvd
Clearwater, FL 33763-1605

Mailing address

2521 Countryside Blvd
Clearwater, FL 33763-1605
Phone (727) 797-5008

Other identifiers 2

IdentifierTypeStateIssuer
029701100MedicaidFL
480011623OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100622000195 FL Practitioner - Podiatry 4688602204 Reassigns benefits to 1 organization
O20100930089670 FL DME Supplier - Physician - Podiatry 8224066923 Practice locations: Clearwater, FL

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bruce J Levine DPM PAGroup PAC ID 8224066923, 13 clinicians

Practice addresses (Care Compare)

2521 Countryside Blvd
Clearwater, FL 33763-1605
Phone (727) 797-5008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue41
Removal of skin lesions50
Removal of nail tissue646
Removal or shaving of skin growth451
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce J Levine DPM PA Foot & Ankle Surgery CurrentSince Jan 1, 1995 Accepting new patients

Locations

2521 Countryside Blvd
Clearwater, FL 33763
Phone (727) 797-5008

Interoperability endpoints

  • Direct secure messaging: blevine@usfas.emadirect.md

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1063478196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 COUNTRYSIDE BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631605",
            "telephone_number": "727-797-5008",
            "fax_number": "797-791-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 COUNTRYSIDE BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631605",
            "telephone_number": "727-797-5008",
            "fax_number": "797-791-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "BRUCE",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO1802",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029701100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480011623",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.