Organization Active NPI

Robert Bruce, Inc

  • Surgical Physician Assistant
  • San Jose, CA
National Provider Identifier
1164847273
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA20241 Issued in CA
Legal business name
ROBERT BRUCE, INC
Practice address
4950 Cherry Ave
#41
San Jose, CA 95118-2751
Phone
(408) 448-3693
Fax
(408) 448-3693
NPI assigned
Feb 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Robert Bruce, PA
Title
Physician Assistant
Phone
(408) 448-3693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X PA20241 CA Primary

Addresses

Primary practice location

4950 Cherry Ave
#41
San Jose, CA 95118-2751

Mailing address

PO Box 18670
San Jose, CA 95158-8670
Phone (408) 448-3693

Other identifiers 1

IdentifierTypeStateIssuer
PA20241OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Robert Bruce Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1164847273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18670",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951588670",
            "telephone_number": "408-448-3693",
            "fax_number": "408-448-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 CHERRY AVE",
            "address_2": "#41",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951182751",
            "telephone_number": "408-448-3693",
            "fax_number": "408-448-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BRUCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "408-448-3693",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA20241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA20241",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.