Active NPI
Bruce D Kugler, PHD
- Clinical Psychologist
- Longmont, CO
National Provider Identifier
1386799385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2323
- Practice address
- 1332 Linden Street
Ste #3
Longmont, CO 80501 - Phone
- (303) 919-3579
- Fax
- (970) 532-4891
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2323 | CO | Primary |
Addresses
Primary practice location
1332 Linden Street
Ste #3
Longmont, CO 80501
Mailing address
848 6TH Street
Berthood, CO 80513
Phone (303) 919-3579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25904345 | Medicaid | CO |
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2323 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386799385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "848 6TH STREET",
"city": "BERTHOOD",
"state": "CO",
"postal_code": "80513",
"telephone_number": "303-919-3579",
"fax_number": "970-532-4891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1332 LINDEN STREET",
"address_2": "STE #3",
"city": "LONGMONT",
"state": "CO",
"postal_code": "80501",
"telephone_number": "303-919-3579",
"fax_number": "970-532-4891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUGLER",
"first_name": "BRUCE",
"middle_name": "D",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "2323",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "25904345",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
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.