Individual provider Active NPI

Robert P Bruce, M.D.

  • Orthopaedic Surgery Physician
  • Overland Park, KS
National Provider Identifier
1205864493
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0420245 Issued in KS
Practice address
10701 Nall Ave
Suite 200
Overland Park, KS 66211-1231
Phone
(913) 381-5225
Fax
(913) 341-3940
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0420245 KS Primary

Addresses

Primary practice location

10701 Nall Ave
Suite 200
Overland Park, KS 66211-1231

Mailing address

12639 Old Tesson Rd
Suite 100
Saint Louis, MO 63128-2786
Phone (314) 849-0311

Other identifiers 3

IdentifierTypeStateIssuer
14058019OtherBCBS OTHER
14058019OtherBCBS KC
P01008823OtherRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robert.bruce@direct.medfusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051212000271 MO Practitioner - Orthopedic Surgery 1557382173 Reassigns benefits to 1 organization
I20120119000822 KS Practitioner - Orthopedic Surgery 1557382173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
15.69 of 100Reported as individual
Quality
3.18
Promoting interoperability
0
Improvement activities
0
Cost
49.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0420245KSMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Bone & Joint Clinic PA Orthopaedic Surgery CurrentSince Jul 30, 1989 Accepting new patients
Midwest Trauma Services, LLC Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

5701 W 119th St
Ste 102
Overland Park, KS 66209
Phone (816) 444-9000

10701 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 381-5225

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

6420 Prospect Ave
Ste T207
Kansas City, MO 64132
Phone (816) 444-9000

1800 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 523-0100

Organizations & group practices 4

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1205864493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12639 OLD TESSON RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282786",
            "telephone_number": "314-849-0311",
            "fax_number": "314-849-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 NALL AVE",
            "address_2": "SUITE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111231",
            "telephone_number": "913-381-5225",
            "fax_number": "913-341-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "ROBERT",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "0420245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OTHER",
            "identifier": "14058019",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "14058019",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01008823",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.bruce@direct.medfusion.com",
            "affiliation": "N",
            "address_1": "10701 Nall Ave",
            "address_2": "Suite 200",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.