NPIMap

Individual provider Active NPI

Bruce Sharp, MD

  • Family Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1477042596
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0063242 Issued in CO
Practice address
2020 N 12TH St
Grand Junction, CO 81501-2914
Phone
(706) 444-2209
Fax
(970) 263-4239
NPI assigned
May 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0063242 CO Primary

Addresses

Primary practice location

2020 N 12TH St
Grand Junction, CO 81501-2914

Mailing address

PO Box 1727
Grand Junction, CO 81502-1727
Phone (970) 644-4220

Other practice location 1

603 28 1/4 Rd
Grand Jct, CO 81506-6019
Phone (970) 263-2600

Other practice location 2

101 Jurassic Ave Unit B
Fruita, CO 81521-7713
Phone (970) 858-6677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210927003279 CO Practitioner - Family Practice 4688923600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians

Practice addresses (Care Compare)

2020 N 12TH St
Grand Valley PC
Grand Junction, CO 81501-2914
Phone (970) 263-2600

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Grand Junction, CO, CCN 067196
  • Adoration Home Health Home health agency, Grand Junction, CO, CCN 067573
  • Elite Care at Home Home health agency, Grand Junction, CO, CCN 067511
  • Hopewest Grand Junction Hospice, Grand Junction, CO, CCN 061527
  • Community Hospital Hospital, Grand Junction, CO, CCN 060054
  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Group, LLC CurrentSince Sep 1, 2021 Accepting new patients
Community Medical Group, LLC Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Community Medical Group, LLC Current Accepting new patients
Community Medical Group, LLC Family Medicine Past Accepting new patients
Community Medical Group Past Accepting new patients

Locations

101 Jurassic Ave
Unit B
Fruita, CO 81521
Phone (970) 858-6677

2478 Patterson Rd
Ste 27
Grand Junction, CO 81505
Phone (970) 257-1862

2020 N 12th St
Grand Junction, CO 81501
Phone (970) 245-0484

731 Iowa Ave
Ste A
Palisade, CO 81526
Phone (970) 644-4050

Organizations & group practices 5

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1477042596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815021727",
            "telephone_number": "970-644-4220",
            "fax_number": "970-263-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N 12TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012914",
            "telephone_number": "706-444-2209",
            "fax_number": "970-263-4239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 28 1/4 Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Jct",
            "state": "CO",
            "postal_code": "815066019",
            "country_code": "US",
            "telephone_number": "970-263-2600",
            "fax_number": "970-263-2692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Jurassic Ave Unit B",
            "address_purpose": "LOCATION",
            "city": "Fruita",
            "state": "CO",
            "postal_code": "815217713",
            "country_code": "US",
            "telephone_number": "970-858-6677",
            "fax_number": "970-858-6679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARP",
        "first_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-03",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0063242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.