Active NPI
Bruce R Dooley, M.D.
- Homeopath
- Ft. Lauderdale, FL
National Provider Identifier
1174747737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homeopath
- License
- ME45210
- 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
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 |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME45210 | FL | MD | Homeopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle Carrillo-Massa, M.D., P.a. | Past | 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.
-
- Primary Care Clinic/Center
- Palm Beach Gardens, FL
- NPI 1477918969
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.