Maria Fe Fiel Bruce, MD
Individual provider Active NPI Family Medicine Physician · Joplin, MO
NPI 1124136718 · NPPES record last updated Feb 14, 2012
Key facts
- NPI
- 1124136718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2007028405 (MO)
- Practice address
- 3126 S Jackson Ave
Suite 201
Joplin, MO 64804-2534 - Phone
- (417) 781-4727
- Fax
- (417) 627-8727
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Clinic Joplin LLC
Practice addresses (Care Compare)
202 E 50TH St
MC Family Medicine 50TH Street
Joplin, MO 64804-4527
Phone (417) 556-3400
Hospital & facility affiliations
- Integrity Home Care + Hospice
- Traditions Health
- Mercy Hospital Joplin
- Mercy Hospital Carthage
- Mercy Specialty Hospital Southeast Kansas
- Freeman Health System - Freeman West
- Mercy Hospital Pittsburg, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071105000071 | MO | Practitioner - Family Practice | 6800790775 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036109260 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Joplin LLC | Family Medicine | Current |
Accepting new patients |
| Sjmgroup | Past | Accepting new patients | |
| Graham Services Corporation | Family Medicine | Past | Accepting new patients |
Locations
94 Main St
Cassville, MO 65625
Phone (417) 782-7722
3126 S Jackson Ave
Joplin, MO 64804
Phone (417) 782-1600
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
3126 S Jackson Ave
Ste 201
Joplin, MO 64804
Phone (417) 556-2830
202 E 50th St
Joplin, MO 64804
Phone (417) 556-3400
1717 S Range Line Rd
Ste B
Joplin, MO 64804
Phone (417) 556-2231
Interoperability endpoints
- mbruce190699@directb.mercy.net
- mbruce200156@directc.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036109260 | IL | |
| Family Medicine Physician | 207Q00000X | 2007028405 | MO | Yes |
Addresses
Primary practice location
3126 S Jackson Ave
Suite 201
Joplin, MO 64804-2534
Mailing address
3126 S Jackson Ave
Suite 201
Joplin, MO 64804-2534
Phone (417) 781-4727
Other names
- Maria Fe Fiel Detalla
NPI Registry JSON
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1124136718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3126 S JACKSON AVE",
"address_2": "SUITE 201",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648042534",
"telephone_number": "417-781-4727",
"fax_number": "417-627-8727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3126 S JACKSON AVE",
"address_2": "SUITE 201",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648042534",
"telephone_number": "417-781-4727",
"fax_number": "417-627-8727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "MARIA FE",
"middle_name": "FIEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036109260",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2007028405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA FE",
"last_name": "DETALLA",
"middle_name": "FIEL",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Joplin, MO
- Ronald A Browning
- Gabriella Grisel Brownlee
- Colton Patrick Broxterman
- Betty S. Bruce
- Julia K Bruce
- Lauren Renee Brucks
- Todd C Brueckner
- Joshua Tyson Brueggemann
- Sydnie A Bruenn
- Gage Adam Brummell
All providers in Joplin, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.