Active NPI
Bruce David Winans, D.P.M.
- Podiatrist
- Parkersburg, WV
National Provider Identifier
1336161264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00176
- Practice address
- 1033 Murdoch Ave
Parkersburg, WV 26101-4330 - Phone
- (304) 485-3831
- Fax
- (304) 485-3861
- NPI assigned
- Jul 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 00176 | WV | Primary |
Addresses
Primary practice location
1033 Murdoch Ave
Parkersburg, WV 26101-4330
Mailing address
1033 Murdoch Ave
Parkersburg, WV 26101-4330
Phone (304) 485-3831
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4864260001 | Other | DMERC | |
| 0468891 | Medicaid | OH | |
| 461472 | Other | ANTHEM BC MEDICARE SUPP | |
| 0100230000 | Medicaid | WV | |
| 001720261 | Other | WV | MOUNTAIN STATE BC/BS |
| 55062331100 | Other | OH | WORKERS COMPENSATION |
| 6938659002 | Other | CIGNA INSURANCE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00176 | WV | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geriatric Foot Care of W Vir | Podiatrist | Past | Accepting new patients |
| Comfort & Mobility, L.L.C. | Past | Accepting new patients |
Interoperability endpoints
- drbrucewinans@direct.meditouchehr.com
Organizations & group practices 2
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.
-
- Prosthetic/Orthotic Supplier
- Parkersburg, WV
- NPI 1649491812
-
- Podiatrist
- Fairmont, WV
- NPI 1144342338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336161264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 MURDOCH AVE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261014330",
"telephone_number": "304-485-3831",
"fax_number": "304-485-3861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 MURDOCH AVE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261014330",
"telephone_number": "304-485-3831",
"fax_number": "304-485-3861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINANS",
"first_name": "BRUCE",
"middle_name": "DAVID",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WV",
"license": "00176",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "4864260001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0468891",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC MEDICARE SUPP",
"identifier": "461472",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0100230000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE BC/BS",
"identifier": "001720261",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "55062331100",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA INSURANCE",
"identifier": "6938659002",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.