Bruce Wesley Arvold, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33954 Issued in MN

Practice address

824 N 11TH St
Montevideo, MN 56265-1629

Phone

(320) 269-8877

Fax

(320) 269-8186

NPI assigned

Feb 6, 2006

Last updated

Apr 19, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

University of Minnesota Medical School, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johnson Memorial Health ServicesGroup PAC ID 5395653836, shared by 5 NPIs, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: barvold482436@direct.centracare.com

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.

• Johnson Memorial Health Services

  dba Johnson Memorial Hospital

  • Critical Access Hospital
  • Dawson, MN
  • NPI 1093745051
  Medicare reassignment NPD
• Johnson Memorial Health Services

  dba Johnson Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Dawson, MN
  • NPI 1770697260
  Medicare reassignment NPD

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1093787855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 N 11TH ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651629",
            "telephone_number": "320-269-8877",
            "fax_number": "320-269-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 N 11TH ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651629",
            "telephone_number": "320-269-8877",
            "fax_number": "320-269-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARVOLD",
        "first_name": "BRUCE",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "33954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093787855",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey B Anderson, O.D.
• Jonathan B Anderson, CRNA
• Melissa Andree, BCBA
• Carol Arends, PHARM D.
• Arneson Pharmacy Inc (Arneson Snyder Drug)
• Kevin Bachman
• Lisa Marie Baker, MD
• Stephanie Baldwin, APRN, CNP
• Steven Gus Beals, O.D.
• Bee Well Clinic, PLLC

• Family Medicine Physician in Montevideo, MN
• Providers in Montevideo, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.