Individual provider Active NPI

Jared Bruce, PH.D.

  • Clinical Neuropsychologist
  • Overland Park, KS
National Provider Identifier
1588954200
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
1951 Issued in KS
Practice address
10555 Marty St Ste 100
Overland Park, KS 66212-2555
Phone
(913) 649-8823
NPI assigned
Apr 14, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 1951 KS Primary
Clinical Neuropsychologist 103G00000X 2008007983 MO

Addresses

Primary practice location

10555 Marty St Ste 100
Overland Park, KS 66212-2555

Mailing address

2107 W 78TH St
Prairie Village, KS 66208-3812
Phone (401) 499-4043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140813001298 MO Practitioner - Clinical Psychologist 9436334653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 W 19TH Ter
Kansas City, MO 64108-2026
Phone (816) 404-5709

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
78.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008007983MOMDClinical Neuropsychologist
1951KSMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center, Incorporated CurrentSince Sep 1, 2014 Accepting new patients
Truman Medical Center Incorporated CurrentSince Sep 1, 2014 Accepting new patients
Truman Medical Center, Incorporated Current Accepting new patients

Locations

300 W 19th Ter
Kansas City, MO 64108
Phone (816) 404-5709

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

7900 Lees Summit Rd
Ofc
Kansas City, MO 64139
Phone (816) 404-9030

Interoperability endpoints

  • Direct secure messaging: jared.bruce@direct.tmcmed.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.

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1588954200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 W 78TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083812",
            "telephone_number": "401-499-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 MARTY ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122555",
            "telephone_number": "913-649-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "KS",
            "license": "1951",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MO",
            "license": "2008007983",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.