Active NPI
Bruce M Fleegler, MD
- Pulmonary Disease Physician
- Sarasota, FL
National Provider Identifier
1265464465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME0017922
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038812200 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0017922 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lung Associates of Sarasota LLC | Pulmonary Disease | Current | 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
- 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.
-
- Pulmonary Disease Physician
- Sarasota, FL
- NPI 1801831003
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.