Bruce J. Walker, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

A62652 Issued in CA

Practice address

1145 E Clark Ave Ste I
Santa Maria, CA 93455-5171

Phone

(805) 364-4412

Fax

(805) 324-6217

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• S D Walker Medical Inc.

  • Specialist
  • West Hollywood, CA
  • NPI 1861655433
  NPD (past) Authorized official
• Walker & Walker, LLC

  dba Walker Medical Wellness

  • Occupational Medicine Physician
  • Santa Maria, CA
  • NPI 1760991277
  NPD
• Liddy Health Works

  dba Liddy Health Works Inc.

  • Chiropractor
  • West Hollywood, CA
  • NPI 1780837005
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1376517292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2430",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934572430",
            "telephone_number": "267-828-4902",
            "fax_number": "844-351-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 E CLARK AVE STE I",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555171",
            "telephone_number": "805-364-4412",
            "fax_number": "805-324-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "BRUCE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "A62652",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A62652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael S Waldron
• Walgreen Co (Walgreens #06287)
• Walgreen Co (Walgreens #06288)
• Walgreens Pharmacy
• Walker & Walker, LLC (Walker Medical Wellness)
• Charles Michael Walker
• Elizabeth Walker, NP
• Laura Walker, D.P.M
• Nathan James Walker, PA
• Zack Wally

• Occupational Medicine Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Occupational Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.

Verify at the official NPI Registry.