Organization Active NPI

Bruce W. Ayres, M.D., P.C.

  • Surgery Physician
  • Richland, WA
National Provider Identifier
1508930009
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD00043560 Issued in WA
Legal business name
BRUCE W. AYRES, M.D., P.C.
Practice address
800 Swift Blvd Ste 320
Richland, WA 99352-3579
Phone
(509) 943-7191
Fax
(509) 943-7166
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bruce Wallace Ayres, MD
Title
President
Phone
(509) 943-1791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD00043560 WA Primary

Addresses

Primary practice location

800 Swift Blvd Ste 320
Richland, WA 99352-3579

Mailing address

800 Swift Blvd Ste 320
Richland, WA 99352-3579
Phone (509) 943-7191

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508930009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SWIFT BLVD STE 320",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523579",
            "telephone_number": "509-943-7191",
            "fax_number": "509-943-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SWIFT BLVD STE 320",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523579",
            "telephone_number": "509-943-7191",
            "fax_number": "509-943-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE W. AYRES, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AYRES",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-943-1791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00043560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.