Individual provider Active NPI

Bruce Lewis Buchsbaum, M.D.

  • Nephrology Physician
  • Des Moines, IA
National Provider Identifier
1326041450
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
26401 Issued in IA
Practice address
501 SW 7TH St
Ste a
Des Moines, IA 50309-4538
Phone
(515) 243-3161
Fax
(515) 243-5687
NPI assigned
May 23, 2005
Reactivated
Mar 20, 2006
Last updated
Jan 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 26401 IA Primary

Addresses

Primary practice location

501 SW 7TH St
Ste a
Des Moines, IA 50309-4538

Mailing address

501 SW 7TH St
Ste a
Des Moines, IA 50309-4538
Phone (515) 243-3161

Other identifiers 1

IdentifierTypeStateIssuer
0049270MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26401IAMDNephrology Physician

Interoperability endpoints

  • Direct secure messaging: brucebuchsbaum@ikppc.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1326041450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SW 7TH ST",
            "address_2": "STE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503094538",
            "telephone_number": "515-243-3161",
            "fax_number": "515-243-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SW 7TH ST",
            "address_2": "STE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503094538",
            "telephone_number": "515-243-3161",
            "fax_number": "515-243-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHSBAUM",
        "first_name": "BRUCE",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2015-01-14",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "26401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049270",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.