Individual provider Active NPI

Bruce C Stone, DO

  • Urology Physician
  • Bakersfield, CA
National Provider Identifier
1104914050
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
20A5255 Issued in CA
Practice address
9500 Stockdale Hwy Ste 109
Bakersfield, CA 93311-3621
Phone
(661) 664-4455
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X DOS493 HI
Urology Physician 208800000X 20A5255 CA Primary

Addresses

Primary practice location

9500 Stockdale Hwy Ste 109
Bakersfield, CA 93311-3621

Mailing address

1524 27TH St Ste 200
Bakersfield, CA 93301-2056
Phone (661) 631-5686

Other practice location 1

1524 27th St
#200
Bakersfield, CA 93301
Phone (661) 631-5686

Other identifiers 1

IdentifierTypeStateIssuer
00AX52550MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20050726001093 CA Practitioner - Urology 2264469733 Practice locations: Bakersfield, CA

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9500 Stockdale Hwy
Bakersfield, CA 93311-3621
Phone (661) 664-4458

Hospital & facility affiliations

  • Mercy Hospital Hospital, Bakersfield, CA, CCN 050295
  • Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A5255CAMDUrology Physician
DOS493HIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1104914050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 27TH ST STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012056",
            "telephone_number": "661-631-5686",
            "fax_number": "661-631-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 STOCKDALE HWY STE 109",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113621",
            "telephone_number": "661-664-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1524 27th St",
            "address_2": "#200",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "93301",
            "country_code": "US",
            "telephone_number": "661-631-5686",
            "fax_number": "661-631-5683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "BRUCE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "HI",
            "license": "DOS493",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "20A5255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX52550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.