Rebecca Leigh Bruce, DO
Individual provider Active NPI Family Medicine Physician · Roeland Park, KS
NPI 1366718397 · NPPES record last updated Mar 23, 2021
Key facts
- NPI
- 1366718397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 05-35598 (KS)
- Practice address
- 5675 Roe Blvd
Suite 100
Roeland Park, KS 66205 - Phone
- (913) 432-2080
- Fax
- (913) 432-5183
- NPI assigned
- Mar 23, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sunflower Medical Group PA
Practice addresses (Care Compare)
2040 Hutton Rd
Suite 102
Kansas City, KS 66109-4566
Phone (913) 299-3700
5675 Roe Blvd
Suite 100
Roeland Park, KS 66205-2515
Phone (913) 432-2080
5675 Roe Blvd
Suite 100
Roeland Park, KS 66205-2538
Hospital & facility affiliations
- University of Kansas Hospital
- Adventhealth Shawnee Mission
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120822000347 | KS | Practitioner - Family Practice |
5890942155 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-35598 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunflower Medical Group, PA | Family Medicine | Current |
Accepting new patients |
| Sunflower Medical Group PA | Family Medicine | Current |
Accepting new patients |
Locations
2040 Hutton Rd
Ste 102
Kansas City, KS 66109
Phone (913) 299-3700
5555 W 58th St
Mission, KS 66202
Phone (913) 432-2080
5675 Roe Blvd
Ste 100
Roeland Park, KS 66205
Phone (913) 432-2080
Interoperability endpoints
- rebeccabruce@smgks.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05-35598 | KS | Yes |
Addresses
Primary practice location
5675 Roe Blvd
Suite 100
Roeland Park, KS 66205
Mailing address
5675 Roe Blvd
Suite 100
Roeland Park, KS 66205
Phone (913) 432-2080
Other providers in Roeland Park, KS
- James Blair Alford
- Rusty Bergman
- Charles Bertagnolli Jr.
- Anna Biggins
- John Andrew Bukaty
- Jacob William Bussmann
- Jose Maria Cabrera
- Isabel Diana Luna Camden
- Celebraces Roeland Park LLC
All providers in Roeland Park, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.