Active NPI
Bruce Dwayne Forney, MD
- Family Medicine Physician
- Alliance, NE
National Provider Identifier
1225250053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12756
- Practice address
- 2307 Box Butte Ave
Alliance, NE 69301 - Phone
- (308) 762-3741
- Fax
- (308) 762-7743
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12756 | NE | Primary |
Addresses
Primary practice location
2307 Box Butte Ave
Alliance, NE 69301
Mailing address
2307 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-3741
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Box Butte General Hospital | Current | Accepting new patients |
Locations
2091 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-7244
2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660
2091 Box Butte Ave
Ste 700
Alliance, NE 69301
Phone (308) 762-7244
Interoperability endpoints
- bforney@bbgh.securechart.com
Organizations & group practices 1
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.
-
- Clinic/Center
- Alliance, NE
- NPI 1871652453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225250053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 BOX BUTTE AVE",
"city": "ALLIANCE",
"state": "NE",
"postal_code": "69301",
"telephone_number": "308-762-3741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 BOX BUTTE AVE",
"city": "ALLIANCE",
"state": "NE",
"postal_code": "69301",
"telephone_number": "308-762-3741",
"fax_number": "308-762-7743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORNEY",
"first_name": "BRUCE",
"middle_name": "DWAYNE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "12756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alliance, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.