Individual provider Active NPI

Bruce M Carter, MD

  • Anesthesiology Physician
  • St George, UT
National Provider Identifier
1225198799
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
184558-1205 Issued in UT
Practice address
1490 E Foremaster Dr
BLDG C
St George, UT 84790-4488
Phone
(435) 674-5230
NPI assigned
Dec 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 184558-1205 UT Primary

Addresses

Primary practice location

1490 E Foremaster Dr
BLDG C
St George, UT 84790-4488

Mailing address

PO Box 911928
St George, UT 84791-1928
Phone (435) 652-9127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050106000213 UT Practitioner - AnesthesiologyPractitioner - Pain Management 2365342532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Uniformed Services Uhs Fe Hebert School of Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dixie Anesthesia LLCGroup PAC ID 4880594399, 2 clinicians

Practice addresses (Care Compare)

1490 E Foremaster Dr
BLDG C
St George, UT 84790-4550
Phone (435) 652-9127

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
184558-1205UTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dixie Anesthesia LLC Anesthesiology CurrentSince Nov 1, 2004 Accepting new patients
Mountain West Anesthesia LLC Anesthesiology PastSince Jan 1, 1998 Accepting new patients
Anesthesia Consultants LLC Past Accepting new patients

Locations

1490 E Foremaster Dr
St George, UT 84790
Phone (435) 674-5230

1490 E Foremaster Dr
Bldg C
St George, UT 84790
Phone (435) 674-5230

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225198799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911928",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847911928",
            "telephone_number": "435-652-9127",
            "fax_number": "435-674-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR",
            "address_2": "BLDG C",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904488",
            "telephone_number": "435-674-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "BRUCE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "184558-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.