Active NPI
Bruce Todd Sloan, PA
- Physician Assistant
- Lebanon, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2136
- Practice address
- 1 Medical Center Dr
Lebanon, NH 03756-1000 - Phone
- (603) 650-5000
- NPI assigned
- Sep 22, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2021-0085 | NM | |
| Medical Physician Assistant | 363AM0700X | MA0016431 | PA | |
| Surgical Physician Assistant | 363AS0400X | PA2021-0085 | NM | |
| Physician Assistant | 363A00000X | 2136 | NH | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Lebanon, NH 03756-1000
Mailing address
PO Box 810
Hanover, NH 03755-0810
Phone (603) 308-1472
Other practice location 1
9701 Bustleton Ave
Philadelphia, PA 19115-3201
Phone (215) 677-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NM, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Keystone Rehabilitation Systems Inc
Practice addresses (Care Compare)
205 S Front St
Harrisburg, PA 17104-1619
2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363
2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143
526 Westerly Pkwy
State College, PA 16801-5905
Phone (814) 996-1150
Hospital & facility affiliations
- Upmc Pinnacle Hospitals
- Sentara Virginia Beach General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA0016431 | PA | MD | Medical Physician Assistant |
| PA2021-0085 | NM | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Abington Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Susquehanna Physician Services | Current | Accepting new patients | |
| Susquehanna Physician Services | Physician Assistant | Current | Accepting new patients |
| Abington Memorial Hospital | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Meeta D. Peer, M.D., P.C. | Past | Accepting new patients | |
| Sunnyvale Orthopaedic and Rehabilitation Clinic LLC | Past | Accepting new patients |
Locations
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
1100 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8005
1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723
2510 Maryland Rd
Ste 185
Willow Grove, PA 19090
Phone (215) 657-5886
Organizations & group practices 16
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.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- Neurological Surgery Physician
- Abington, PA
- NPI 1386685386
-
- Surgery Physician
- Williamsport, PA
- NPI 1881622868
Physician Assistant
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
- Family Medicine Physician
- Altoona, PA
- NPI 1396724217
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Keene, NH
- NPI 1174176861
-
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
-
- Maternal & Fetal Medicine Physician
- Abington, PA
- NPI 1649033069
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
- Pediatric Pulmonology Physician
- Lemoyne, PA
- NPI 1831736180
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1326147455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 810",
"city": "HANOVER",
"state": "NH",
"postal_code": "037550810",
"telephone_number": "603-308-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-5000"
}
],
"practiceLocations": [
{
"address_1": "9701 Bustleton Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191153201",
"country_code": "US",
"telephone_number": "215-677-3000",
"fax_number": "215-677-9919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLOAN",
"first_name": "BRUCE",
"middle_name": "TODD",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA2021-0085",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA0016431",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NM",
"license": "PA2021-0085",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "2136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.