Bruce R Mixter, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

31939 Issued in CO

Practice address

555 Meeker St
Delta, CO 81416-1920

Phone

(970) 874-5777

Fax

(970) 874-1631

NPI assigned

Apr 27, 2006

Last updated

Dec 3, 2013By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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.

• Delta Family Physicians PC

  • Family Medicine Physician
  • Delta, CO
  • NPI 1578574588
  Authorized official Same address or phone

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1316904188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MEEKER ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161920",
            "telephone_number": "970-874-5777",
            "fax_number": "970-874-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MEEKER ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161920",
            "telephone_number": "970-874-5777",
            "fax_number": "970-874-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXTER",
        "first_name": "BRUCE",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "31939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01319391",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milk of Mothers (M.O.M.), LLC
• Cindy Ann Miller, LMT
• Robin Mills, FNP
• Martha Nicole Milner, NP
• Mindfulness Based Interventions LLC (Mindfulness Based Interventions)
• Julie D Mixter, M.D.
• MLS Senior Care
• Cathleen Suzanne Moffitt, LCSW
• Alana G Montgomery, FNP
• Montrose Memorial Hospital, Inc (Alpine Women's Centre Delta Campus)

• Family Medicine Physician in Delta, CO
• Providers in Delta, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.