Active NPI
Bruce Miller Reinoehl, M.D.
- Emergency Medicine Physician
- Dewitt, MI
National Provider Identifier
1629201876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301037831
- Practice address
- 10411 Bond Rd
Dewitt, MI 48820-9781 - Phone
- (517) 669-5486
- NPI assigned
- Sep 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301037831 | MI | Primary |
Addresses
Primary practice location
10411 Bond Rd
Dewitt, MI 48820-9781
Mailing address
10411 Bond Rd
Dewitt, MI 48820-9781
Phone (517) 669-5486
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301037831 | MI | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251936000000",
"number": "1629201876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10411 BOND RD",
"city": "DEWITT",
"state": "MI",
"postal_code": "488209781",
"telephone_number": "517-669-5486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10411 BOND RD",
"city": "DEWITT",
"state": "MI",
"postal_code": "488209781",
"telephone_number": "517-669-5486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINOEHL",
"first_name": "BRUCE",
"middle_name": "MILLER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-03",
"last_updated": "2009-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301037831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dewitt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.