Prouskeh Bruce Ebrahimpour, M.D.

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

10548A Issued in WY

Practice address

6550 E 2ND St
Casper, WY 82609-4321

Phone

(307) 266-4000

Fax

(307) 266-4545

NPI assigned

Jun 27, 2008

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 NH

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

Merit-based Incentive Payment System (MIPS)

Final score

65.17 of 100Reported as group

Quality

47.69

Improvement activities

40

Cost

79.8

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1124280417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094321",
            "telephone_number": "307-266-4000",
            "fax_number": "307-266-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094321",
            "telephone_number": "307-266-4000",
            "fax_number": "307-266-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRAHIMPOUR",
        "first_name": "PROUSKEH",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "WY",
            "license": "10548A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Ann Eager
• Leigh Powell Earle, M.S. A.P.R.N. B.C.
• Erica Courtney Eastlund
• Kristen Marie Eastwood, MOT, OTR/L
• Cormick Eaton, DPT
• Kelly Eckes, APRN
• Kathy Ecklund, LPC
• Eddington Anesthesia Inc
• Chelsea Eddington, PA-C
• Luke Donald Eddington, DC, MS

• Adult Reconstructive Orthopaedic Surgery Physician in Casper, WY
• Providers in Casper, WY by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.
• 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.