Individual provider Active NPI

Bruce Andrew Nolan, MD, FACP

  • Neurology Physician
  • Miami, FL
National Provider Identifier
1457386229
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME 13035 Issued in FL
Practice address
1501 NW 9TH Ave
Sleep Disorders Center
Miami, FL 33136-1407
Phone
(305) 243-5195
Fax
(305) 243-5304
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME 13035 FL Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X ME0013035 FL

Addresses

Primary practice location

1501 NW 9TH Ave
Sleep Disorders Center
Miami, FL 33136-1407

Mailing address

1501 NW 9TH Ave
Sleep Disorders Center
Miami, FL 33136-1407
Phone (305) 243-5195

Other identifiers 1

IdentifierTypeStateIssuer
049716900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 13035FLMDNeurology Physician
ME0013035FLMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Neurology Past Accepting new patients
University of Miami Neurology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1457386229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 NW 9TH AVE",
            "address_2": "SLEEP DISORDERS CENTER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361407",
            "telephone_number": "305-243-5195",
            "fax_number": "305-243-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 NW 9TH AVE",
            "address_2": "SLEEP DISORDERS CENTER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361407",
            "telephone_number": "305-243-5195",
            "fax_number": "305-243-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "BRUCE",
        "middle_name": "ANDREW",
        "credential": "MD, FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME 13035",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "FL",
            "license": "ME0013035",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049716900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.