Bruce Lawrence Ricke, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME 45907 Issued in FL

Practice address

7800 SW 57TH Ave
Ste 225E
South Miami, FL 33143-5528

Phone

(305) 665-3990

NPI assigned

Jan 6, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1114905445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SW 57TH AVE",
            "address_2": "STE 225E",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435528",
            "telephone_number": "305-665-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SW 57TH AVE",
            "address_2": "STE 225E",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435528",
            "telephone_number": "305-665-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKE",
        "first_name": "BRUCE",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 45907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044909100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bushra Riaz, MD
• Aldo Ribeiros Jr., M.D.
• Ruben J Ricardo, M.D.
• Sofia Ricardo
• Richard S. Kalski, MD PA
• Natalie Victoria Rico
• Rightway Healthcare of California, P.C.
• Thomas Daley Riley IV, MD
• Kamyr Krystal Rios Santos, MD
• Javier Ernesto Rios, MD

• Psychiatry Physician in South Miami, FL
• Providers in South Miami, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.