Active NPI
Bruce A Suchland, CNP
- Family Nurse Practitioner
- Sidney, OH
National Provider Identifier
1487913422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.13320-NP
- Practice address
- 804 W Russell Rd
Sidney, OH 45365-9063 - Phone
- (937) 557-5657
- Fax
- (513) 230-2024
- NPI assigned
- May 11, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.13320-NP | OH | Primary |
Addresses
Primary practice location
804 W Russell Rd
Sidney, OH 45365-9063
Mailing address
804 W Russell Rd
Sidney, OH 45365-9063
Phone (937) 557-5657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0064996 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210312001642 | OH | Order and Referring Only - Nurse Practitioner | 9032373519 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.13320-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Lima Memorial Professional Corporation | Past | Accepting new patients | |
| Everside Health, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- St. Henry, OH
- NPI 1982078705
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Specialist
- Lima, OH
- NPI 1457474900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1487913422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 W RUSSELL RD",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453659063",
"telephone_number": "937-557-5657",
"fax_number": "513-230-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 W RUSSELL RD",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453659063",
"telephone_number": "937-557-5657",
"fax_number": "513-230-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUCHLAND",
"first_name": "BRUCE",
"middle_name": "A",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-11",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.13320-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0064996",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sidney, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.