Bruce Patterson Crowley, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

031228 Issued in GA

Practice address

130 Vann St NE
Suite 230
Marietta, GA 30060-7250

Phone

(770) 425-1341

Fax

(770) 428-6484

NPI assigned

Feb 17, 2006

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

Other identifiers 3

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

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1306810080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 VANN ST NE",
            "address_2": "SUITE 230",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607250",
            "telephone_number": "770-425-1341",
            "fax_number": "770-428-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 VANN ST NE",
            "address_2": "SUITE 230",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607250",
            "telephone_number": "770-425-1341",
            "fax_number": "770-428-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "BRUCE",
        "middle_name": "PATTERSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "031228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00474097B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00474097E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00474097C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Andrew Crossen, LMSW
• Crossover Outpatient Services LLC
• Roddie Crouch, DDS
• Caley Crouse
• Vicki Lynn Crouse, AGACNP-BC
• Crowncare
• Brooke Nicole Croxton, DMD
• David W. Croxton, D.M.D.
• Hunter Croxton, DMD
• Kayla Miriam Rogers Crumbley, RN, CPNP

• Ophthalmology Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.