Active NPI
Bruce Xu, L.AC.
- Acupuncturist
- Pittsford, NY
National Provider Identifier
1073542510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 001054
- Practice address
- 90 Office Park Way
Pittsford, NY 14534-1711 - Phone
- (585) 385-4510
- Fax
- (585) 385-4519
- NPI assigned
- Jun 30, 2006
- Last updated
- Oct 25, 2016
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 001054 | NY | Primary |
Addresses
Primary practice location
90 Office Park Way
Pittsford, NY 14534-1711
Mailing address
8 Hidden Springs Dr
Pittsford, NY 14534-2897
Phone (585) 385-4510
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P010001054 | Other | NY | BLUE CHOICE |
| 7903108 | Other | NY | AETNA |
| 130063GB | Other | NY | PREFFERED CARE |
| P020001054 | Other | NY | BLUECROSS&BLUESHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001054 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce Xu Acupuncture, PLLC | Acupuncturist | Past | Accepting new patients |
| John H Stroger Jr Hospital Cook County | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Acupuncturist
- Pittsford, NY
- NPI 1457621351
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1992914733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1073542510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 HIDDEN SPRINGS DR",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145342897",
"telephone_number": "585-385-4510",
"fax_number": "585-385-4519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 OFFICE PARK WAY",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145341711",
"telephone_number": "585-385-4510",
"fax_number": "585-385-4519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XU",
"first_name": "BRUCE",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "001054",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010001054",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7903108",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFFERED CARE",
"identifier": "130063GB",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS&BLUESHIELD",
"identifier": "P020001054",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.