Active NPI
Henry E. Bruce, M.D.
- Specialist
- Laguna Hills, CA
National Provider Identifier
1114920535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G17513
- Practice address
- 24411 Health Center Dr
Ste 320
Laguna Hills, CA 92653-3633 - Phone
- (949) 770-6077
- Fax
- (949) 770-0869
- NPI assigned
- May 31, 2005
- Reactivated
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | G17513 | CA | Primary |
Addresses
Primary practice location
24411 Health Center Dr
Ste 320
Laguna Hills, CA 92653-3633
Mailing address
24411 Health Center Dr
Ste 320
Laguna Hills, CA 92653-3633
Phone (949) 770-6077
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G17513 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Solutions, Inc. | Past | Accepting new patients |
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.
-
- Audiologist
- Laguna Hills, CA
- NPI 1164637278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1114920535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24411 HEALTH CENTER DR",
"address_2": "STE 320",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533633",
"telephone_number": "949-770-6077",
"fax_number": "949-770-0869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24411 HEALTH CENTER DR",
"address_2": "STE 320",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533633",
"telephone_number": "949-770-6077",
"fax_number": "949-770-0869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "HENRY",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2007-12-21",
"deactivation_date": "2006-03-20",
"reactivation_date": "2006-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G17513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.