William Henry Bruce Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G12358 Issued in CA

Practice address

520 Superior Ave Ste 255
Newport Beach, CA 92663-3668

Phone

(949) 760-8275

Fax

(949) 340-8034

NPI assigned

May 3, 2006

Last updated

Jun 17, 2015By the provider in NPPES

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1265490890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE STE 255",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633668",
            "telephone_number": "949-760-8275",
            "fax_number": "949-340-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE STE 255",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633668",
            "telephone_number": "949-760-8275",
            "fax_number": "949-340-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "WILLIAM",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G12358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsee Jeanine Brubaker
• Bruce B Lee, M.D.
• Bruce Dubin
• Bruce M Albert M D
• Bruce T Burton, MD a Medical Corporation
• Naomi Samantha Brugman
• Ashley Elizabeth Brumett, PHD
• Melissa Brunicardi, RN, DOULA
• Kelly Bruno
• Anne Brunson, MA, MFT

• Internal Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.