Active NPI
Melody Ann Bruce, M.D.
- Obstetrics & Gynecology Physician
- Troy, NY
National Provider Identifier
1568428654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 144312
- Practice address
- 101 Jordan Rd
Suite 200
Troy, NY 12180-8343 - Phone
- (518) 274-0476
- Fax
- (518) 274-0497
- NPI assigned
- Apr 26, 2006
- Last updated
- Aug 16, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 144312 | NY | Primary |
Addresses
Primary practice location
101 Jordan Rd
Suite 200
Troy, NY 12180-8343
Mailing address
711 Troy Schenectady Rd
Suite 203
Latham, NY 12110-2442
Phone (518) 782-3700
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000416033001 | Other | NY | BLUE SHIELD |
| 040426006335 | Other | NY | FIDELIS |
| 10916 | Other | NY | GHIHMO |
| 16153 | Other | NY | MVP |
| 0005996464 | Other | NY | AETNA |
| 110916 | Other | NY | WELLCARE |
| 10000224 | Other | NY | CDPHP |
| 160011353 | Other | NY | RAILROAD MEDICARE |
| 52E351 | Other | NY | BLUE CROSS |
| 00040834901 | Other | NY | UNIVERA |
| 00731659 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OB/GYN Health Center Associates, LLP | Obstetrics & Gynecology | Current | Accepting new patients |
| Community Care Physicians, PC | Past | Accepting new patients |
Locations
282 Grooms Rd
Halfmoon, NY 12065
Phone (518) 373-0041
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Troy, NY
- NPI 1134144298
-
dba Community Care Lab Care
- Internal Medicine Physician
- Latham, NY
- NPI 1023380714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376611200000",
"number": "1568428654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD",
"address_2": "SUITE 203",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102442",
"telephone_number": "518-782-3700",
"fax_number": "518-782-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 JORDAN RD",
"address_2": "SUITE 200",
"city": "TROY",
"state": "NY",
"postal_code": "121808343",
"telephone_number": "518-274-0476",
"fax_number": "518-274-0497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "MELODY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2013-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "144312",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000416033001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426006335",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHIHMO",
"identifier": "10916",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "16153",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005996464",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "110916",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10000224",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "160011353",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "52E351",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00040834901",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00731659",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.