Active NPI
Bruce M. McCormack, MD., Inc
- Neurological Surgery Physician
- San Francisco, CA
National Provider Identifier
1417514613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0661131 | Medicaid | CA |
Other names 2
- Bruce M. McCormack MD
- Bruce M. McCormack, M.D.
National Provider Directory
National Provider DirectoryLocations
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.