Individual provider Active NPI

Bruce G. Houston, D.O.

  • Family Medicine Physician
  • Albany, GA
National Provider Identifier
1285629907
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
033166 Issued in GA
Practice address
2002 Palmyra Rd
Suite 101
Albany, GA 31701-1591
Phone
(229) 889-9367
Fax
(229) 317-0678
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 033166 GA Primary

Addresses

Primary practice location

2002 Palmyra Rd
Suite 101
Albany, GA 31701-1591

Mailing address

PO Box 505
Albany, GA 31702-0505
Phone (229) 889-9367

Other identifiers 2

IdentifierTypeStateIssuer
110182702OtherGARR MEDICARE PROVIDER #
000434772BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20111201000105 GA Practitioner - Family Practice 7315111358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Albany, P.C.Group PAC ID 7719975564, 6 clinicians

Practice addresses (Care Compare)

2002 Palmyra Rd
Suite 101
Albany, GA 31701-1593
Phone (229) 432-1440

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Albany, GA, CCN 117141
  • Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Albany, P.C. Family Medicine CurrentSince May 3, 1999 Accepting new patients
Medical Associates of Albany, PC Family Medicine Past Accepting new patients

Locations

2002 Palmyra Rd
Ste 101
Albany, GA 31701
Phone (229) 432-1440

101 Oakland Crossing Dr
Leesburg, GA 31763
Phone (229) 432-1440

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1285629907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317020505",
            "telephone_number": "229-889-9367",
            "fax_number": "229-317-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 PALMYRA RD",
            "address_2": "SUITE 101",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011591",
            "telephone_number": "229-889-9367",
            "fax_number": "229-317-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "BRUCE",
        "middle_name": "G.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "033166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROVIDER #",
            "identifier": "110182702",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000434772B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.