Organization Active NPI

Bruce M. McCormack, MD., Inc

  • Neurological Surgery Physician
  • San Francisco, CA
National Provider Identifier
1417514613
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
BRUCE M. MCCORMACK, MD., INC
Doing business as
Bruce M. McCormack MD
Bruce M. McCormack, M.D.
Practice address
2320 Sutter St Ste 202
San Francisco, CA 94115-3023
Phone
(415) 923-9222
Fax
(415) 923-9255
NPI assigned
May 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Authorized official

Name
Dr. Bruce Michael McCormack, MD
Title
Neurosurgeon
Phone
(415) 923-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

2320 Sutter St Ste 202
San Francisco, CA 94115-3023

Mailing address

2320 Sutter St Ste 202
San Francisco, CA 94115-3023
Phone (415) 923-9222

Other identifiers 1

IdentifierTypeStateIssuer
0661131MedicaidCA

Other names 2

  • Bruce M. McCormack MD Doing business as
  • Bruce M. McCormack, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

2320 Sutter St
Ste 202
San Francisco, CA 94115
Phone (415) 819-6575

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1417514613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 SUTTER ST STE 202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153023",
            "telephone_number": "415-923-9222",
            "fax_number": "415-923-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 SUTTER ST STE 202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153023",
            "telephone_number": "415-923-9222",
            "fax_number": "415-923-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE M. MCCORMACK, MD., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "NEUROSURGEON",
        "authorized_official_telephone_number": "415-923-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0661131",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruce M. McCormack MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bruce M. McCormack, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.