Bruce D Scully, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD R4F25 Issued in MO

Practice address

1509 NW Mock Ave
Blue Springs, MO 64015-3108

Phone

(816) 229-8187

Fax

(816) 229-1181

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Care of E. Jackson County LLCGroup PAC ID 8426068693, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phoenix Home Care Home health agency, Independence, MO, CCN 267650
• Centerpoint Medical Center Hospital, Independence, MO, CCN 260095
• Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
• St Mary'S Medical Center Hospital, Blue Springs, MO, CCN 260193

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Family Care of E. Jackson County LLC

  • Family Medicine Physician
  • Blue Springs, MO
  • NPI 1326094632
  Medicare reassignment Care Compare group NPD
• Serafini Medical, P.C.

  • Family Medicine Physician
  • Blue Springs, MO
  • NPI 1184024408
  NPD
• Centerpoint Clinic of Blue Springs LLC

  • Internal Medicine Physician
  • Blue Springs, MO
  • NPI 1548544885
  NPD (past)
• Midwest Heart & Vascular Specialists, LLC

  • Cardiovascular Disease Physician
  • Overland Park, KS
  • NPI 1760736615
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerpoint Medical Center of Independence, LLC

  • General Acute Care Hospital
  • Independence, MO
  • NPI 1942247044
  Care Compare affiliation
• Phoenix Home Care, LLC

  • Home Health Agency
  • Independence, MO
  • NPI 1659610376
  Care Compare affiliation
• Prime Healthcare Services Blue Springs, LLC

  • General Acute Care Hospital
  • Blue Springs, MO
  • NPI 1912303579
  Care Compare affiliation
• Saint Lukes East Hospital

  • General Acute Care Hospital
  • Lees Summit, MO
  • NPI 1053353490
  Care Compare affiliation

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1366437972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 NW MOCK AVE",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153108",
            "telephone_number": "816-229-8187",
            "fax_number": "816-229-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 NW MOCK AVE",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153108",
            "telephone_number": "816-229-8187",
            "fax_number": "816-229-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULLY",
        "first_name": "BRUCE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MD R4F25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BRUCE.SCULLY@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1509 NW Mock Ave",
            "city": "Blue Springs",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640153108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Schweder
• Luke A Schweizer
• Clayton Schwinke
• Natonya Scott, LPC
• Stephanie Scott, APRN, FNP-C
• Kelly Marie Sears, LPC
• Rachel F Secchio
• Thomas Anthony Seck, D.O.
• Theresa Jackson Seeker, APRN
• Sego Med Supply, LLC

• Family Medicine Physician in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.