Individual provider Active NPI

Bruce M Fleegler, MD

  • Pulmonary Disease Physician
  • Sarasota, FL
National Provider Identifier
1265464465
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME0017922 Issued in FL
Practice address
1921 Waldemere St
Ste 705
Sarasota, FL 34239-2943
Phone
(941) 366-5864
Fax
(941) 365-4276
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME0017922 FL Primary

Addresses

Primary practice location

1921 Waldemere St
Ste 705
Sarasota, FL 34239-2943

Mailing address

1921 Waldemere St
Ste 705
Sarasota, FL 34239-2943
Phone (941) 366-5864

Other identifiers 1

IdentifierTypeStateIssuer
038812200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100212000342 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0749324861 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0017922FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lung Associates of Sarasota LLC Pulmonary Disease CurrentSince Sep 1, 1971 Accepting new patients

Locations

1895 Floyd St
Sarasota, FL 34239
Phone (813) 366-5864

1921 Waldemere St
Ste 705
Sarasota, FL 34239
Phone (941) 366-5864

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10086560

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1265464465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 WALDEMERE ST",
            "address_2": "STE 705",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392943",
            "telephone_number": "941-366-5864",
            "fax_number": "941-365-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 WALDEMERE ST",
            "address_2": "STE 705",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392943",
            "telephone_number": "941-366-5864",
            "fax_number": "941-365-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEEGLER",
        "first_name": "BRUCE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0017922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038812200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.