Active NPI
Kenton T Bruice, M.D.
- Specialist
- Aspen, CO
National Provider Identifier
1487692117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 37319
- Practice address
- 100 E Main St
Aspen, CO 81611-1780 - Phone
- (970) 925-6655
- Fax
- (970) 920-6738
- NPI assigned
- Jun 3, 2006
- Last updated
- Aug 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 37319 | CO | Primary |
Addresses
Primary practice location
100 E Main St
Aspen, CO 81611-1780
Mailing address
100 E Main St
Aspen, CO 81611-1780
Phone (970) 925-6655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01373190 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 25, 2016 through Feb 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Center for Womens Health | Past | Accepting new patients | |
| Gail King MD PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/12969/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Aspen, CO
- NPI 1285614339
-
dba Aspen Center for Womens Health
- Obstetrics & Gynecology Physician
- Aspen, CO
- NPI 1831243153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1487692117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E MAIN ST",
"city": "ASPEN",
"state": "CO",
"postal_code": "816111780",
"telephone_number": "970-925-6655",
"fax_number": "970-920-6738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E MAIN ST",
"city": "ASPEN",
"state": "CO",
"postal_code": "816111780",
"telephone_number": "970-925-6655",
"fax_number": "970-920-6738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUICE",
"first_name": "KENTON",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "37319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01373190",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aspen, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.