Bruce J Hookerman, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

31696 Issued in MO

Practice address

12105 Bridgeton Square Drive
Bridgeton, MO 63044-2616

Phone

(314) 291-2588

Fax

(314) 291-4104

NPI assigned

Nov 27, 2006

Last updated

May 28, 2008By the provider in NPPES

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

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dermatology Specialists Inc

  • Dermatology Physician
  • Bridgeton, MO
  • NPI 1427116680
  Authorized official Same address or phone

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1396811105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12105 BRIDGETON SQUARE DRIVE",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442616",
            "telephone_number": "314-291-2588",
            "fax_number": "314-291-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12105 BRIDGETON SQUARE DRIVE",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442616",
            "telephone_number": "314-291-2588",
            "fax_number": "314-291-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOKERMAN",
        "first_name": "BRUCE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "31696",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MO",
            "license": "31696",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "100861",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "96698",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MO",
            "identifier": "20867",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202820213",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PALMETT",
            "identifier": "CS4712",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PALMETT",
            "identifier": "72155018",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mishla Latice Holman, MSW
• Kelly C Holschen, PT
• Cheryl Holtmeyer, PT
• Connie Joy Holtrop, LCSW
• Sydney Hood, PT, DPT
• Horizon Behavioral Health LLC
• Deandre Horne
• Christine Horschig, DPT
• Michael Anthony Horton II, PHARM. D., RPH
• Cynthia L Horvath, SR. CSW

• Dermatology Physician in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.