Organization Active NPI

Bruce D Wolosky DPM, PA

  • Podiatrist
  • Ocala, FL
National Provider Identifier
1467719567
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2270 Issued in FL
Legal business name
BRUCE D WOLOSKY DPM, PA
Practice address
8534 SW Highway 200
Ocala, FL 34481-2100
Phone
(352) 237-2002
Fax
(352) 861-3162
NPI assigned
Apr 13, 2012
Last updated
Jun 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Authorized official

Name
Dr. Bruce David Wolosky, DPMNPI 1104851419
Title
Owner/Physician
Phone
(352) 237-2002

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
Podiatrist 213E00000X PO2270 FL Primary

Addresses

Primary practice location

8534 SW Highway 200
Ocala, FL 34481-2100

Mailing address

8534 SW Highway 200
Ocala, FL 34481
Phone (352) 237-2002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120501000458 FL Part B Supplier - Clinic/Group Practice 4284896671 Receives reassigned benefits from 2 practitioners
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory

Locations

8534 SW Highway 200
Ocala, FL 34481
Phone (352) 237-2002

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1467719567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8534 SW HIGHWAY 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34481",
            "telephone_number": "352-237-2002",
            "fax_number": "352-861-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8534 SW HIGHWAY 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344812100",
            "telephone_number": "352-237-2002",
            "fax_number": "352-861-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE D WOLOSKY DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "WOLOSKY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "352-237-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.