Bruce Meyer, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

6637A Issued in WY

Practice address

5101 Minnehaha Ave
Minneapolis, MN 55417-1647

Phone

(612) 317-3102

NPI assigned

Jun 20, 2005

Last updated

May 11, 2015By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN, WY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1583/brand/2/csg/28/fhir/r4

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.

• State of Minnesota-Minnesota Management and Budget

  dba Minnesota Dept. of Veterans Affairs, MN Veterans Home Minneapolis

  • Skilled Nursing Facility
  • Minneapolis, MN
  • NPI 1295025864
  Medicare reassignment NPD
• State of Minnesota-Minnesota Management and Budget

  dba Minnesota Veterans Home - Bemidji

  • Skilled Nursing Facility
  • Bemidji, MN
  • NPI 1023724838
  NPD
• State of Minnesota-Minnesota Management and Budget

  dba Minnesota Department of Veterans Affairs-Minnesota State Veterans Home

  • Skilled Nursing Facility
  • Silver Bay, MN
  • NPI 1952742256
  NPD
• Fairview Clinics

  • Primary Care Clinic/Center
  • Saint Paul, MN
  • NPI 1396552147
  NPD (past)
• Evanston Clinic Corp

  • Family Medicine Physician
  • Evanston, WY
  • NPI 1013916519

  Internal Medicine

  NPD (past)
• Evanston Hospital Corporation

  • Certified Registered Nurse Anesthetist
  • Evanston, WY
  • NPI 1013288836
  NPD (past)
• Glenrock Hospital District

  dba glenrock health center

  • Clinical Medical Laboratory
  • Glenrock, WY
  • NPI 1437294972
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1154326635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10340 NESBITT AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372215",
            "telephone_number": "952-835-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 MINNEHAHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171647",
            "telephone_number": "612-317-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "6637A",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WY",
            "license": "6637A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117200000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abby Ilona Metzler, MD
• Eileen Metzner, FNP
• Peter Mevissen
• Cameron Rose Meyer-Mueller
• Abby Christine Meyer, MD
• Carol Mary Meyer
• Carolyn Meyer, ARNP AGNP
• Danielle Meyer
• Dustine A. Meyer, LP-3424
• Eric J Meyer, PA-C

• Internal Medicine Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.