Bruce Lirones DO Professional LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101008200 Issued in MI

Legal business name

BRUCE LIRONES DO PROFESSIONAL LLC

Practice address

9895 Rapid City Rd NW
Rapid City, MI 49676-9506

Phone

(231) 331-4283

NPI assigned

Mar 9, 2010

Organization subpart

No

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

Authorized official

Name

Bruce Lirones

Title

Sole Member

Phone

(231) 331-4283

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1215250071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9895 RAPID CITY RD NW",
            "city": "RAPID CITY",
            "state": "MI",
            "postal_code": "496769506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9895 RAPID CITY RD NW",
            "city": "RAPID CITY",
            "state": "MI",
            "postal_code": "496769506",
            "telephone_number": "231-331-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE LIRONES DO PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "LIRONES",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "231-331-4283"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Rapid City, MI
• Providers in Rapid City, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.