Bradley K Cruz, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

2313 Issued in AK

Practice address

2751 Debarr Rd
Suite 390
Anchorage, AK 99508-2953

Phone

(907) 274-7977

NPI assigned

Aug 19, 2006

Last updated

Jun 28, 2016By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Kenneth R Pervier, MD, LLC

  • Neurology Physician
  • Anchorage, AK
  • NPI 1568633279
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1255446696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140349",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995140349",
            "telephone_number": "907-792-7920",
            "fax_number": "907-792-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 DEBARR RD",
            "address_2": "SUITE 390",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082953",
            "telephone_number": "907-274-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "BRADLEY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AK",
            "license": "2313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300130884",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD2313",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelly Mae Crume
• Brandon Lee Thomas Cruse
• Kaye E Cruse, RN, MSN, ENP
• Cruz Care Assisted Living Home
• April Marie Cruz
• Maria Lourdes Cruz
• Wendy Sue Cruz, M.D.
• Zarinah Victoria Bugarin Cruz, C-SLPA
• Joseph Matthew Cryderman
• Crysta's Speech and Language Services, LLC

• Diagnostic Radiology Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Diagnostic Radiology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.