Bruce Anderson Demont, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

315 8TH St
Lincoln, IL 62656-2671

Phone

(217) 732-2161

Fax

(217) 732-7481

NPI assigned

May 20, 2006

Last updated

Nov 1, 2007By 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

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Midwest Emergency Department Specialists LTD

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  NPD (past)
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• Neck to Back Rockford LLC

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  • Rockford, IL
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  NPD (past)
• Spinal Rehabilitation and Wellness Clinic, LLC

  dba Neck to Back Medical Clinic

  • Family Medicine Physician
  • Rockford, IL
  • NPI 1376789545
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1114971652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 8TH ST",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626562671",
            "telephone_number": "217-732-2161",
            "fax_number": "217-732-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 8TH ST",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626562671",
            "telephone_number": "217-732-2161",
            "fax_number": "217-732-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMONT",
        "first_name": "BRUCE",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ashley Diane Davis, LCPC
• Jenna N Dean, APN
• Donald T. Dearth
• Joyce Jane Dearth, B.C.H.I.S.
• Jessica Ann Demarco, PA-C
• Kristin Denkler
• Lynn Marie Dennis, DPM
• Cynthia Dorchinecz
• Carie Marie Dorn, COTA/L
• Connie A Duda, CFNP

• Family Medicine Physician in Lincoln, IL
• Providers in Lincoln, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.