Bruce Allen Fraser, DDS, MS

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

30017340 Issued in OH

Practice address

463 Waterbury CT
Suite a
Columbus, OH 43230

Phone

(614) 471-6600

Fax

(614) 471-6660

NPI assigned

Feb 6, 2007

Last updated

Nov 16, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Gahanna, OH
  • NPI 1790860153
  NPD (past) Authorized official
• Gregory C. Michaels D.D.S., M.S. Oral & Maxillofacial Surgery,Inc.

  dba Michaels Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Lancaster, OH
  • NPI 1497269492
  NPD (past)
• Northeast Oral and Maxillofacial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Gahanna, OH
  • NPI 1841928934
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1225177033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 WATERBURY CT",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-471-6600",
            "fax_number": "614-471-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 WATERBURY CT",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-471-6600",
            "fax_number": "614-471-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "BRUCE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "OH",
            "license": "30017340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L Franz, MD
• Matthias John Franzen, DO
• Lisa M Fraraccio, AGCNS-BC
• Amanda Fraser, DPT
• Anaya Fraser
• David Alan Fraser, CRNA
• Erin Nicole Fraser
• Sherylann Fraser
• Simon Fraser, D.O.
• William Fraser, DO

• Oral and Maxillofacial Pathology Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• Oral and Maxillofacial Pathology Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.