Organization Active NPI

Bruce I Timins MD PA

  • Cardiovascular Disease Physician
  • Lehigh Acres, FL
National Provider Identifier
1194993659
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 36915 Issued in FL
Legal business name
BRUCE I TIMINS MD PA
Practice address
1154 Lee Blvd
Unit 2
Lehigh Acres, FL 33936-4852
Phone
(239) 303-2640
NPI assigned
Feb 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Kim Frazier, CPC
Title
Ar Specialist
Phone
(727) 848-3761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME 36915 FL Primary

Addresses

Primary practice location

1154 Lee Blvd
Unit 2
Lehigh Acres, FL 33936-4852

Mailing address

PO Box 1976
Lehigh Acres, FL 33970-1976
Phone (239) 303-2640

Other identifiers 1

IdentifierTypeStateIssuer
066515100MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1194993659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1976",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339701976",
            "telephone_number": "239-303-2640",
            "fax_number": "239-303-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 LEE BLVD",
            "address_2": "UNIT 2",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364852",
            "telephone_number": "239-303-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE I TIMINS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "AR SPECIALIST",
        "authorized_official_telephone_number": "727-848-3761",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 36915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066515100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.