Bruce B Cleeremans MD a Prof Corp

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G046938 Issued in CA

Legal business name

BRUCE B CLEEREMANS MD A PROF CORP

Doing business as

Nerve Pro Medical Corp

Practice address

15825 Laguna Canyon Rd
Ste 202
Irvine, CA 92618-2127

Phone

(949) 753-1882

Fax

(949) 727-3365

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Bruce Bradley Cleeremans, MDNPI 1205042249

Title

President

Phone

94978531882

Specialties & licenses 1

Addresses

Other names 1

• Nerve Pro Medical Corp Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Bradley Cleeremans, MD

  • Neurology Physician
  • Irvine, CA
  • NPI 1205042249
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336156421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15825 LAGUNA CANYON RD",
            "address_2": "STE 202",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182127",
            "telephone_number": "949-753-1882",
            "fax_number": "949-727-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15825 LAGUNA CANYON RD",
            "address_2": "STE 202",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182127",
            "telephone_number": "949-753-1882",
            "fax_number": "949-727-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE B CLEEREMANS MD A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLEEREMANS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "94978531882",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G046938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nerve Pro Medical Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Perla Brown
• Sarah Brown, LMFT
• Sherry Brown
• Andrew Wellesley Browne, M.D., PH.D.
• Christine M Browning, PH.D.
• Chris Charles Bruckner, L.AC
• Marc Bruderer, AMFT
• Mary Kate Bruellet, BCBA
• Yvonne Elisabeth Bruinsma, PHD, BCBA-D
• Jon Patrick Brunelle, D.C.

• Neurology Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.