Bruce Simmons, HIS

Primary specialty

SpecialistTaxonomy code 174400000X

License

080659 Issued in IA

Practice address

507 1St St NW
Austin, MN 55912-3019

Phone

(507) 433-4327

Fax

(507) 433-3277

NPI assigned

May 27, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1255789442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 RIDERS CLUB RD",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502041",
            "telephone_number": "608-783-7399",
            "fax_number": "608-783-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 1ST ST NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123019",
            "telephone_number": "507-433-4327",
            "fax_number": "507-433-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "080659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsy Jo Siddell
• Lorna Kay Siefke-Harbor, MA LICENSED PSYCHOLO
• Christopher James Gayes Sigakis, M.D.
• Viki Sigler
• Mackenzie Sikora
• Rohini Singh, MD
• Sarah Sistek
• John A Skaar, RPH
• Kristin Ann Skime, RPH, PHARMD
• Sarah Skinner, DDS

• Specialist in Austin, MN
• Providers in Austin, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.