Individual provider Active NPI

Bruce R Dooley, M.D.

  • Homeopath
  • Ft. Lauderdale, FL
National Provider Identifier
1174747737
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomeopathTaxonomy code 175L00000X
License
ME45210 Issued in FL
Practice address
2583 E, Sunrise Blvd
Ft. Lauderdale, FL 33304
Phone
(954) 564-8888
Fax
(954) 565-3111
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homeopath 175L00000X ME45210 FL Primary

Addresses

Primary practice location

2583 E, Sunrise Blvd
Ft. Lauderdale, FL 33304

Mailing address

1820 N.E. Jensen Beach Blvd.
Suite 621
Jensen Beach, FL 34957
Phone (772) 225-7737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 20, 2015 through Jul 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME45210FLMDHomeopath

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Carrillo-Massa, M.D., P.a. PastSince Mar 8, 2016 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174747737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 N.E. JENSEN BEACH BLVD.",
            "address_2": "SUITE 621",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "34957",
            "telephone_number": "772-225-7737",
            "fax_number": "772-225-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2583 E, SUNRISE BLVD",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33304",
            "telephone_number": "954-564-8888",
            "fax_number": "954-565-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "BRUCE",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": "FL",
            "license": "ME45210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft. Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.