NPIMap

Individual provider Active NPI

Bruce K. Baker, DO

  • Obesity Medicine (Internal Medicine) Physician
  • Puyallup, WA
National Provider Identifier
1518079722
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
License
89983087 Issued in WA
Practice address
1408 3Rd St SE Ste 200
Puyallup, WA 98372
Phone
(253) 268-3345
Fax
(253) 881-1490
NPI assigned
Sep 1, 2006
Last updated
Aug 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP00001533 WA
Obesity Medicine (Internal Medicine) Physician 207RB0002X 89983087 WA Primary

Addresses

Primary practice location

1408 3Rd St SE Ste 200
Puyallup, WA 98372

Mailing address

1408 3Rd St SE Ste 200
Puyallup, WA 98372-3702
Phone (253) 268-3345

Other identifiers 1

IdentifierTypeStateIssuer
0391445OtherWADEPARTMENT OF LABOR INDUSTRIES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20080606000323 WA Practitioner - Family Practice 2567532229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizonview Health PLLCGroup PAC ID 1355670431, 3 clinicians

Practice addresses (Care Compare)

1408 3Rd St SE
Suite 200
Puyallup, WA 98372-3702
Phone (253) 268-3345

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP00001533WAMDFamily Medicine Physician
OP00001681WAMDFamily Medicine Physician
89983087WAMDObesity Medicine (Internal Medicine) Physician
025207WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizonview Health, PLLC Family Medicine CurrentSince Apr 27, 2018 Accepting new patients
Horizonview Health, PLLC Family Medicine Past Accepting new patients
Good Samaritan Community Healthcare Family Medicine Past Accepting new patients

Locations

1408 3rd St SE
Ste 200
Puyallup, WA 98372
Phone (253) 268-3345

Interoperability endpoints

  • Direct secure messaging: bbakerdo4959@direct.multicare.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1518079722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 3RD ST SE STE 200",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723702",
            "telephone_number": "253-268-3345",
            "fax_number": "253-881-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 3RD ST SE STE 200",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98372",
            "telephone_number": "253-268-3345",
            "fax_number": "253-881-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BRUCE",
        "middle_name": "K.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001533",
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "WA",
            "license": "89983087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR INDUSTRIES",
            "identifier": "0391445",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.