Individual provider Active NPI

Bruce Bartlow, M.D.

  • Nephrology Physician
  • Redding, CA
National Provider Identifier
1316956865
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G39229 Issued in CA
Practice address
180 Northpoint Dr
Redding, CA 96003-2510
Phone
(530) 232-3000
Fax
(530) 242-8545
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G39229 CA
Nephrology Physician 207RN0300X G39229 CA Primary

Addresses

Primary practice location

180 Northpoint Dr
Redding, CA 96003-2510

Mailing address

PO Box 496084
Redding, CA 96049-6084
Phone (530) 232-3000

Other identifiers 1

IdentifierTypeStateIssuer
00G392990MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040318000648 CA Practitioner - NephrologyPractitioner - Critical Care (Intensivists) 9830085802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Critical Care (Intensivists)
Education
Northwestern University Feinberg Medical School, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shasta Critical Care Specialists Medical Clinic IncGroup PAC ID 0547228884, 4 clinicians

Practice addresses (Care Compare)

2701 Old Eureka Way
Suite 1E
Redding, CA 96001-0228
Phone (530) 232-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.26 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
64.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39299CAMDDentist
G39229CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Critical Care Specialists Medical Clinic, Inc. Critical Care Medicine CurrentSince Jan 1, 2005 Accepting new patients

Locations

2701 Old Eureka Way
Ste 1E
Redding, CA 96001
Phone (530) 232-3000

180 Northpoint Dr
Redding, CA 96003
Phone (530) 232-3000

2701 Old Eureka Way
Ste 1J
Redding, CA 96001
Phone (530) 232-3000

Organizations & group practices 1

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 4

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1316956865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496084",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960496084",
            "telephone_number": "530-232-3000",
            "fax_number": "530-242-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NORTHPOINT DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960032510",
            "telephone_number": "530-232-3000",
            "fax_number": "530-242-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLOW",
        "first_name": "BRUCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G39229",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G39229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G392990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.