Organization Active NPI

Dr Le Advanced Gastroenterology

  • Gastroenterology Physician
  • Weeki Wachee, FL
National Provider Identifier
1437664117
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DR LE ADVANCED GASTROENTEROLOGY
Practice address
8425 Balm St
Weeki Wachee, FL 34607-4419
Phone
(352) 688-2700
NPI assigned
Dec 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Bruce Giang Le, DONPI 1700178910
Title
Owner
Phone
(352) 688-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

8425 Balm St
Weeki Wachee, FL 34607-4419

Mailing address

8425 Balm St
Weeki Wachee, FL 34607-4419
Phone (352) 688-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180703000056 FL Part B Supplier - Clinic/Group Practice 4284980368 Receives reassigned benefits from 3 practitioners
Practice locations: Weeki Wachee, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2184254Dr Le Advanced Gastroenterology LLC8425 Balm Street, Spring Hill, FL 34607ComplianceJan 20, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1437664117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8425 BALM ST",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346074419",
            "telephone_number": "352-688-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8425 BALM ST",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346074419",
            "telephone_number": "352-688-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LE ADVANCED GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "GIANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-688-2700",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weeki Wachee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.