Bernard-Dean Frank Marucci, M.D.

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

14029 Issued in AZ

Practice address

1207 Pueblo Boulevard Way
Pueblo, CO 81005-2175

Phone

(719) 542-0032

Fax

(719) 296-6217

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Surgical Specialties of Casa Grande

  • Ambulatory Surgical Clinic/Center
  • Casa Grande, AZ
  • NPI 1750384822
  NPD (past) Authorized official
• Healtheast Medical Research Institute

  • Internal Medicine Physician
  • Saint Paul, MN
  • NPI 1508191552
  NPD
• Healtheast Medical Research Institute

  • Clinic/Center
  • Vadnais Heights, MN
  • NPI 1639125503
  NPD
• Banner Home Care-Arizona

  • Home Health Agency
  • Tucson, AZ
  • NPI 1013452721
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1255453924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 PUEBLO BOULEVARD WAY",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052175",
            "telephone_number": "719-542-0032",
            "fax_number": "719-296-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 PUEBLO BOULEVARD WAY",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052175",
            "telephone_number": "719-542-0032",
            "fax_number": "719-296-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUCCI",
        "first_name": "BERNARD-DEAN",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "14029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara E Martinez, LPTA
• Shiri Cassandra Martinez
• Thomas Matt Martinez, LPTA
• Torin Martinez
• Victoria Martinez, FNP-C
• Cynthia Mascarenas, CAC I
• Marie Louise Masciotra, RN,MSN
• Emerson Mason
• Jaydene Mason, N.P.
• Kristina L Masset

• Hospice and Palliative Medicine (Family Medicine) Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.