Individual provider Active NPI

Bruce F Arnold, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Farmington, MI
National Provider Identifier
1164400438
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
36109158 Issued in IL
Practice address
23133 Orchard Lake Rd Ste 200
Farmington, MI 48336-3279
Phone
(248) 579-9220
Fax
(248) 426-7350
NPI assigned
Jan 5, 2006
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35121 IA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 4301515207 MI
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 36109158 IL Primary

Addresses

Primary practice location

23133 Orchard Lake Rd Ste 200
Farmington, MI 48336-3279

Mailing address

PO Box 2660
Waterloo, IA 50704-2660
Phone (319) 233-3044

Other practice location 1

525 E Grant St
Macomb, IL 61455-3313
Phone (309) 837-5368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, MI2 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

Enrollment IDStateProvider typePAC IDDetails
I20130803000164 UT Practitioner - Pathology 7012100415 Reassigns benefits to 2 organizations
I20260428002858 MI Practitioner - Pathology 7012100415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Chicago, Pritzker School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uintah Basin Medical CenterGroup PAC ID 0244131944, 62 clinicians

Practice addresses (Care Compare)

210 W 300
Roosevelt, UT 84066-2336

250 W 300
75 2
Roosevelt, UT 84066-2336
Phone (435) 722-4691

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.32 of 100Reported as apm
Quality
71.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35121IAMDAnatomic Pathology & Clinical Pathology Physician
36109158ILMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uintah Basin Medical Center CurrentSince Jan 19, 2014 Accepting new patients
South Oakland Gastroenterology Associates PC CurrentSince Nov 8, 2025 Accepting new patients
Northeastern Utah Medical Group CurrentSince Jul 1, 2013 Accepting new patients
Uintah Basin Medical Center CurrentSince Jan 19, 2014 Accepting new patients
Nupath, PC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Northeastern Utah Medical Group CurrentSince Jul 1, 2013 Accepting new patients
Ubmc Anesthesiology PastSince Jul 1, 2020 Accepting new patients

Locations

525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611

1 William Carls Dr
#220
Commerce Twp, MI 48382
Phone (248) 579-9220

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

50 E 200 S
Duchesne, UT 84021
Phone (435) 738-2426

210 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691

210 W 300 N
Ste 753
Roosevelt, UT 84066

250 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691

250 W 300 N
#752
Roosevelt, UT 84066
Phone (435) 722-4691

250 W 300 N
Ste 752
Roosevelt, UT 84066
Phone (435) 722-4691

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Uintah Basin Medical Center the Clinic VernalVernal, UT, CCN 463997 Rural health clinic Corporate Director Jan 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1164400438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2660",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042660",
            "telephone_number": "319-233-3044",
            "fax_number": "319-233-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23133 ORCHARD LAKE RD STE 200",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363279",
            "telephone_number": "248-579-9220",
            "fax_number": "248-426-7350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 E Grant St",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "IL",
            "postal_code": "614553313",
            "country_code": "US",
            "telephone_number": "309-837-5368",
            "fax_number": "319-233-0722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "BRUCE",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IA",
            "license": "35121",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "4301515207",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "36109158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

Verify at the official NPI Registry.