NPIMap

Organization Active NPI

Craig D Bartruff M.D., P.C.

Doing business as Gothenburg Medical Arts Rural Health Clinic

  • Rural Health Clinic/Center
  • Gothenburg, NE
National Provider Identifier
1487980165
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CRAIG D BARTRUFF M.D., P.C.
Doing business as
Gothenburg Medical Arts Rural Health Clinic
Practice address
619 10TH St
Gothenburg, NE 69138-2063
Phone
(308) 537-3673
Fax
(308) 537-3675
NPI assigned
Oct 30, 2009
Last updated
Mar 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Dr. Craig D Bartruff, M.D.NPI 1801833660
Title
Owner
Phone
(308) 537-3673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

619 10TH St
Gothenburg, NE 69138-2063

Mailing address

619 10TH St
Gothenburg, NE 69138-2063
Phone (308) 537-3673

Other names 1

  • Gothenburg Medical Arts Rural Health Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1487980165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 10TH ST",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691382063",
            "telephone_number": "308-537-3673",
            "fax_number": "308-537-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 10TH ST",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691382063",
            "telephone_number": "308-537-3673",
            "fax_number": "308-537-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG D BARTRUFF M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "BARTRUFF",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-537-3673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gothenburg Medical Arts Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gothenburg, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.