Bruce E Perry MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD16305 Issued in OR

Legal business name

BRUCE E PERRY MD

Practice address

1619 NW Hawthorne Ave Ste 102
Grants Pass, OR 97526-6008

Phone

(541) 471-6033

Fax

(541) 474-6874

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Edgar Perry, M.D.NPI 1396742045

Title

Owner

Phone

(541) 471-6033

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce E. Perry, MD

  • Orthopaedic Surgery Physician
  • Gold Beach, OR
  • NPI 1396742045
  NPD (past) Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1104913433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 NW HAWTHORNE AVE",
            "address_2": "#102",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975266008",
            "telephone_number": "541-471-6033",
            "fax_number": "541-474-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 NW HAWTHORNE AVE STE 102",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975266008",
            "telephone_number": "541-471-6033",
            "fax_number": "541-474-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE E PERRY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "EDGAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-471-6033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD16305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096396",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Duward Jakob Brown
• Jack Alan Brown III
• Jason Matthew Brown, B.A.
• Monica Brown
• Teresa Brown
• Jennifer Lynn Bruce
• Matthew James Brumbaugh
• Karie Brunette, ABS, QMHA-I
• Kimberly Dawn Bryan
• Marcus Alan Bryner, MD

• Orthopaedic Surgery Physician in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Orthopaedic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.