Individual provider Active NPI

Bruce Leipzig, MD

  • Otolaryngology Physician
  • Brownwood, TX
National Provider Identifier
1356315667
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
F1114 Issued in TX
Practice address
2410 Crockett Dr
Suite B
Brownwood, TX 76801-5906
Phone
(325) 643-5695
Fax
(325) 643-1193
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X F1114 TX Primary

Addresses

Primary practice location

2410 Crockett Dr
Suite B
Brownwood, TX 76801-5906

Mailing address

2410 Crockett Dr
Suite B
Brownwood, TX 76801-5906
Phone (325) 643-5695

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
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce Leipzig, M.D, PA Otolaryngology PastSince Jan 23, 2004 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8863/brand/2/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356315667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 CROCKETT DR",
            "address_2": "SUITE B",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015906",
            "telephone_number": "325-643-5695",
            "fax_number": "325-643-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 CROCKETT DR",
            "address_2": "SUITE B",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015906",
            "telephone_number": "325-643-5695",
            "fax_number": "325-643-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIPZIG",
        "first_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "F1114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

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.

Verify at the official NPI Registry.