Bruce J Dreyfuss, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

G64297 Issued in CA

Practice address

25 N 14TH St
Ste 890
San Jose, CA 95112-6216

Phone

(408) 288-6623

Fax

(408) 288-6698

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Osteoporosis Center of San Jose

  • Bone Densitometry Radiologic Technologist
  • San Jose, CA
  • NPI 1891915005
  NPD (past) Authorized official

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1558366047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N 14TH ST",
            "address_2": "STE 890",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126216",
            "telephone_number": "408-288-6623",
            "fax_number": "408-288-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N 14TH ST",
            "address_2": "STE 890",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126216",
            "telephone_number": "408-288-6623",
            "fax_number": "408-288-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREYFUSS",
        "first_name": "BRUCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "G64297",
            "primary": true
        },
        {
            "code": "2471B0102X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Bone Densitometry",
            "state": "CA",
            "license": "RHC142268",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "FAC52131",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "660003967",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD #",
            "identifier": "ZZZ54863Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110048492",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5148629",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dreams Transportation Services LLC
• Jonathan Drennan
• Donald D Drenth, O.D.
• Charles J Dressman Jr., DDS
• Babylynne Pomare Drexler
• Drogueria San Jose Inc
• DRS Korb & Merat
• DRS. Bui & Le Optometry Professional Corporation
• Bryan J Drucker, M.D.
• Natalie Drucker

• Rheumatology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.

Verify at the official NPI Registry.