Active NPI
James Caleb Bruce, D.O.
- Emergency Medicine Physician
- Clinton Township, MI
National Provider Identifier
1316213127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OP60639315
- Practice address
- 15855 19 Mile Rd
Clinton Township, MI 48038 - Phone
- (586) 263-2953
- Fax
- (586) 263-2975
- NPI assigned
- Mar 26, 2012
- Last updated
- Oct 23, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OP60639315 | WA | Primary |
Addresses
Primary practice location
15855 19 Mile Rd
Clinton Township, MI 48038
Mailing address
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2953
Other practice location 1
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
174 1St Ave N
Ilwaco, WA 98624-9137
Phone (360) 642-3181
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP60639315 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District 3 of Pacific County | Current | Accepting new patients | |
| Public Hospital District 3 of Pacific County | Current | Accepting new patients | |
| Public Hospital District 3 of Pacific County | Current | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ocean Beach Hospital
- Critical Access Hospital
- Ilwaco, WA
- NPI 1295771376
-
dba Ocean Beach Medical Group -Ocean Park
- Rural Health Clinic/Center
- Ocean Park, WA
- NPI 1417482191
-
dba Naselle Clinic
- Rural Health Clinic/Center
- Naselle, WA
- NPI 1881858140
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Columbia Memorial Hospital
- Critical Access Hospital
- Astoria, OR
- NPI 1134146939
-
dba CMH Cardiology Clinic
- Cardiovascular Disease Physician
- Astoria, OR
- NPI 1629378880
Hospital
-
- Critical Access Hospital
- Astoria, OR
- NPI 1700809761
-
dba Columbia Memorial Hospital
- Surgery Physician
- Astoria, OR
- NPI 1821254129
Hospital
-
dba Ocean Beach Hospital
- Critical Access Hospital
- Ilwaco, WA
- NPI 1295771376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1316213127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15855 19 MILE RD",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480383504",
"telephone_number": "586-263-2953",
"fax_number": "586-263-2975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15855 19 MILE RD",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "48038",
"telephone_number": "586-263-2953",
"fax_number": "586-263-2975"
}
],
"practiceLocations": [
{
"address_1": "15855 19 Mile Rd",
"address_purpose": "LOCATION",
"city": "Clinton Township",
"state": "MI",
"postal_code": "480383504",
"country_code": "US",
"telephone_number": "586-263-2953",
"fax_number": "586-263-2975",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUCE",
"first_name": "JAMES",
"middle_name": "CALEB",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-26",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "OP60639315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.
- 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.