Individual provider Active NPI

Willie Bruce, DO

  • Emergency Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1336139328
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO3108 Issued in NV
Practice address
5755 E Charleston Blvd
Las Vegas, NV 89142-1004
Phone
(702) 383-6240
Fax
(702) 224-7186
NPI assigned
Oct 21, 2005
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-081683 IL
Emergency Medicine Physician 207P00000X DO3108 NV Primary
Emergency Medicine Physician 207P00000X OS8626 FL

Addresses

Primary practice location

5755 E Charleston Blvd
Las Vegas, NV 89142-1004

Mailing address

1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Phone (702) 383-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, GU2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220818002370 NV Practitioner - Emergency Medicine 6103898887 Reassigns benefits to 1 organization
I20250107001724 GU Practitioner - Emergency Medicine 6103898887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1700 Wheeler Peak Dr
Las Vegas, NV 89106-2150
Phone (702) 383-2565

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

2031 N Buffalo Dr
Las Vegas, NV 89128-0269
Phone (702) 383-3750

4180 S Rainbow Blvd
Las Vegas, NV 89103-3135

5755 E Charleston Blvd
Las Vegas, NV 89142-1004
Phone (702) 383-2273

5785 Centennial Ctr Blvd
Suite 190
Las Vegas, NV 89149-7110
Phone (702) 383-6270

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS8626FLMDEmergency Medicine Physician
036-081683ILMDEmergency Medicine Physician
DO3108NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guam Memorial Hospital CurrentSince Oct 28, 2024 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Jul 25, 2022 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Jul 25, 2022 Accepting new patients
Guam Memorial Hospital CurrentSince Oct 28, 2024 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Carle Health Medical Group Emergency Medicine Past Accepting new patients
Paragon Contracting Services LLC Emergency Medicine Past Accepting new patients
Florida Em-I Medical Services, PA Past Accepting new patients
Gulfstream Emergency Physicians Emergency Medicine Past Accepting new patients
Gulf Coast Emergency Physicians PA Emergency Medicine Past Accepting new patients
Heartland Emergency Specialists, LLC Emergency Medicine Past Accepting new patients
Best Care Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Floridian Emergency Specialists, LLC Emergency Medicine PastSince Jan 26, 2020 Accepting new patients

Locations

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

525 Marks St
Henderson, NV 89014
Phone (702) 383-6210

1700 Wheeler Peak Dr
Las Vegas, NV 89106
Phone (702) 383-2565

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

2031 N Buffalo Dr
Las Vegas, NV 89128
Phone (702) 383-2650

4180 S Rainbow Blvd
Ste 810
Las Vegas, NV 89103
Phone (702) 383-3626

4760 Blue Diamond Rd
Ste 110
Las Vegas, NV 89139
Phone (702) 383-2300

5785 Centennial Center Blvd
Ste 190
Las Vegas, NV 89149
Phone (702) 383-6270

61 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 383-6240

61 N Nellis Blvd
Ste 63
Las Vegas, NV 89110

9320 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 383-3633

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1336139328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022386",
            "telephone_number": "702-383-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 E CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891421004",
            "telephone_number": "702-383-6240",
            "fax_number": "702-224-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "WILLIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-081683",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "DO3108",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS8626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.