Mark D Bruce, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

529621 Issued in TX

Practice address

2901 N 4TH St
Longview, TX 75605-5128

Phone

(903) 232-3606

Fax

(903) 593-4290

NPI assigned

Oct 20, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northstar Anesthesia III PA 393 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Longview Regional Medical Center Hospital, Longview, TX, CCN 450702

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Northstar Anesthesia III PA

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1356968952

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment Care Compare group NPD
• Longview Medical Center LP

  • Certified Registered Nurse Anesthetist
  • Longview, TX
  • NPI 1508824038

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment NPD
• Texas Ams PLLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1174926125

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment NPD
• Longview Medical Center LP

  • Rehabilitation Hospital Unit
  • Longview, TX
  • NPI 1699733097
  NPD
• East Texas Medical Center

  • Certified Registered Nurse Anesthetist
  • Tyler, TX
  • NPI 1497804371

  Nurse Anesthetist, Certified Registered

  NPD (past)
• East Texas Medical Center

  • Land Ambulance
  • Bellmead, TX
  • NPI 1568964518
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Longview Medical Center LP

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1528026267

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124100714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14994 E LAKE CIR",
            "city": "ARP",
            "state": "TX",
            "postal_code": "757509781",
            "telephone_number": "903-859-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055128",
            "telephone_number": "903-232-3606",
            "fax_number": "903-593-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "529621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "86187U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PART B RAILROAD MEDICARE",
            "identifier": "P00273951",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Lee Brown, APRN NP-C
• Stephanie Brown
• Tracy Michelle Brown, LCSW
• Trisha Lee Brown, ATC, DPT
• Lewis A Browne, M.D.
• Mary Kathryne Brun, LPC
• Barry Clinton Bruyere, DDS
• Misti Dawn Bryant Bradshaw, NP
• Brandon G Bryant, ACNP
• Kayla Marie Bryant, AGACNP-BC

• All providers in Longview, TX
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.