Active NPI
Stephen Bruce Stuart, MD
- Cardiovascular Disease Physician
- Prescott, AZ
National Provider Identifier
1194729004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 34286
- Practice address
- 804 Ainsworth Dr
Suite 102
Prescott, AZ 86301-1624 - Phone
- (928) 776-0601
- Fax
- (928) 776-0620
- NPI assigned
- Jun 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 34286 | AZ | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 34286 | AZ |
Addresses
Primary practice location
804 Ainsworth Dr
Suite 102
Prescott, AZ 86301-1624
Mailing address
804 Ainsworth Dr
Suite 102
Prescott, AZ 86301-1624
Phone (928) 776-0601
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 499972 | Medicaid | AZ | |
| P00249737 | Other | AZ | RAILROAD MEDICARE |
Other names 1
- Stephen Stuart Bruce
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.52 of 100
- Quality
- 68.64
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 86.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| New Mexico Heart Institute, LLC | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Ambulatory Surgical Clinic/Center
- Rosebud, SD
- NPI 1790955128
-
- Cardiovascular Disease Physician
- Albuquerque, NM
- NPI 1346242575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1194729004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 AINSWORTH DR",
"address_2": "SUITE 102",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011624",
"telephone_number": "928-776-0601",
"fax_number": "928-776-0620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 AINSWORTH DR",
"address_2": "SUITE 102",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011624",
"telephone_number": "928-776-0601",
"fax_number": "928-776-0620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUART",
"first_name": "STEPHEN",
"middle_name": "BRUCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "34286",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "AZ",
"license": "34286",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "499972",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00249737",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHEN",
"last_name": "BRUCE",
"middle_name": "STUART",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.