Bruce James Ploeser, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

750 N Estrella Pkwy Ste 40
Goodyear, AZ 85338-9279

Phone

(623) 889-3477

NPI assigned

Sep 27, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healthy Life Family Medicine PLCGroup PAC ID 4183717804, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Billet Home Health Inc- Peoria Home health agency, Peoria, AZ, CCN 037437

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

• Healthy Life Family Medicine, PLC

  • Primary Care Clinic/Center
  • Goodyear, AZ
  • NPI 1750416400
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Billet Home Health Inc - Peoria

  • Home Health Agency
  • Peoria, AZ
  • NPI 1538686761
  Care Compare affiliation

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1447974183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18104 W JONES AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382030",
            "telephone_number": "602-501-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N ESTRELLA PKWY STE 40",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389279",
            "telephone_number": "623-889-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOESER",
        "first_name": "BRUCE",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hugo L Pinillos, M.D.
• Bethany Amber Pinkowski, RN
• Corey Lee Pittman
• Kyle Pizarro, DO
• Pkwy Medical Center LLC
• Ronald A Plotkin, O.D.
• Patricia Ann Plum, LCSW
• Nicole Podgurski, PTA
• Melissa Beth Pongratz, OD
• Randi D Poole, M.S.CCC-SLP

• Physician Assistant in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.