Individual provider Active NPI

Bruce E Dall, M.D.

  • Orthopaedic Surgery Physician
  • Kalamazoo, MI
National Provider Identifier
1225018591
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301042369 Issued in MI
Practice address
1541 Gull Rd
Suite 200
Kalamazoo, MI 49048-1639
Phone
(269) 343-1264
Fax
(269) 343-9555
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 4301042369 MI Primary

Addresses

Primary practice location

1541 Gull Rd
Suite 200
Kalamazoo, MI 49048-1639

Mailing address

1541 Gull Rd
Suite 200
Kalamazoo, MI 49048-1639
Phone (269) 343-1264

Other identifiers 1

IdentifierTypeStateIssuer
4716750MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1225018591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 GULL RD",
            "address_2": "SUITE 200",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481639",
            "telephone_number": "269-343-1264",
            "fax_number": "269-343-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 GULL RD",
            "address_2": "SUITE 200",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481639",
            "telephone_number": "269-343-1264",
            "fax_number": "269-343-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALL",
        "first_name": "BRUCE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301042369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4716750",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.