Organization Active NPI

Bruce N. Reynolds, MD, LLC

  • Plastic Surgery Physician
  • Ashland, OR
National Provider Identifier
1376604140
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD19568 Issued in OR
Legal business name
BRUCE N. REYNOLDS, MD, LLC
Practice address
280 Maple Street
Ashland, OR 97520-1552
Phone
(541) 664-5151
Fax
(541) 664-5155
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bruce N Reynolds, MD
Title
Provider
Phone
(541) 664-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X MD19568 OR Primary

Addresses

Primary practice location

280 Maple Street
Ashland, OR 97520-1552

Mailing address

1208 Beall Lane
Central Point, OR 97502-1572
Phone (541) 664-5151

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376604140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 BEALL LANE",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975021572",
            "telephone_number": "541-664-5151",
            "fax_number": "541-664-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MAPLE STREET",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201552",
            "telephone_number": "541-664-5151",
            "fax_number": "541-664-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE N. REYNOLDS, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "541-664-5151",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "OR",
            "license": "MD19568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.