Active NPI
Briana Bruce, M.D.
- Hospitalist Physician
- Bemidji, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 64933
- Practice address
- 1300 Anne St NW
Bemidji, MN 56601-5103 - Phone
- (218) 333-5000
- NPI assigned
- Apr 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | 64933 | MN | Primary |
| Pediatrics Physician | 208000000X | 036.148922 | IL |
Addresses
Primary practice location
1300 Anne St NW
Bemidji, MN 56601-5103
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
225 E Chicago Ave
Chicago, IL 60611-2991
Phone (320) 333-9700
Other practice location 2
2450 Riverside Ave
1st Floor East Building
Minneapolis, MN 55454-1450
Phone (612) 624-4477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.148922 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Multi-Specialty | Current | Accepting new patients |
| Sanford Health of Northern Minnesota | Multi-Specialty | Current | Accepting new patients |
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Past | Accepting new patients | |
| St. Cloud Hospital | Multi-Specialty | Past | Accepting new patients |
Locations
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
1300 Anne St NW
Bemidji, MN 56601
Phone (218) 333-5794
2450 Riverside Ave
Fl 1
Minneapolis, MN 55454
Phone (612) 624-4418
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
Interoperability endpoints
- bbruce385357@direct.centracare.com
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- St Cloud, MN
- NPI 1043212665
-
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1003339789
-
- Occupational Medicine Clinic/Center
- Saint Cloud, MN
- NPI 1366192759
-
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
Multi-Specialty
-
- Rural Acute Care Hospital
- Bemidji, MN
- NPI 1801870191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1346694023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 ANNE ST NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566015103",
"telephone_number": "218-333-5000"
}
],
"practiceLocations": [
{
"address_1": "225 E Chicago Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112991",
"country_code": "US",
"telephone_number": "320-333-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2450 Riverside Ave",
"address_2": "1st Floor East Building",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554541450",
"country_code": "US",
"telephone_number": "612-624-4477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUCE",
"first_name": "BRIANA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-19",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MN",
"license": "64933",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "IL",
"license": "036.148922",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.