Bruce Wishnov DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRUCE WISHNOV DO PA

Practice address

22065 State Road 7
Boca Raton, FL 33428-4219

Phone

(561) 488-4847

Fax

(561) 488-4366

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Wishnov, DONPI 1134296395

Title

President

Phone

(561) 488-4847

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Wishnov, DO

  • Family Medicine Physician
  • Boca Raton, FL
  • NPI 1134296395
  Medicare reassignment NPD Authorized official
• Anne Carballo Mon

  • Family Nurse Practitioner
  • Boca Raton, FL
  • NPI 1225510985
  Medicare reassignment NPD
• Leanne N. Butler, N.P.

  • Nurse Practitioner
  • Boca Raton, FL
  • NPI 1568897791
  Medicare reassignment
• Shelly M Cambell, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Boca Raton, FL
  • NPI 1508938515
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316014590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22065 STATE ROAD 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284219",
            "telephone_number": "561-488-4847",
            "fax_number": "561-488-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22065 STATE ROAD 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284219",
            "telephone_number": "561-488-4847",
            "fax_number": "561-488-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE WISHNOV DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WISHNOV",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-488-4847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BRRH Oncology LLC
• Bruce D. Barton MD PA
• Bruce L. Saltz, M.D., P.a.
• Bruce M Fischer DC PA
• Bruce W Phillips MD PA
• Benjamin Bruce
• Aimee C Brueck, MPT
• Christina Brumer
• Alice W Brumley, DNP
• Maria B. Brusco Osso, A.R.N.P.

• Family Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.