Active NPI
Bruce F Walker, MD
- Anatomic Pathology & Clinical Pathology Physician
- Atlanta, GA
National Provider Identifier
1144298217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 029553
- Practice address
- 1968 Peachtree Rd NW
Pathology Dept
Atlanta, GA 30309 - Phone
- (800) 288-8325
- Fax
- (404) 609-6645
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 029553 | GA | Primary |
Addresses
Primary practice location
1968 Peachtree Rd NW
Pathology Dept
Atlanta, GA 30309
Mailing address
PO Box 491028
Lawrenceville, GA 30049
Phone (404) 605-3247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00430163C | Medicaid | GA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1144298217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 491028",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "30049",
"telephone_number": "404-605-3247",
"fax_number": "404-609-6645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1968 PEACHTREE RD NW",
"address_2": "PATHOLOGY DEPT",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30309",
"telephone_number": "800-288-8325",
"fax_number": "404-609-6645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "BRUCE",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "029553",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00430163C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.