Individual provider Active NPI

Julia Lynn Bruce

  • Internal Medicine Physician
  • Greeley, CO
National Provider Identifier
1639136385
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31120 Issued in CO
Practice address
900 14TH St
Greeley, CO 80631
Phone
(970) 304-0010
Fax
(970) 304-0903
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31120 CO Primary
Nephrology Physician 207RN0300X 31120 CO
Internal Medicine Physician 207R00000X 26748 NE

Addresses

Primary practice location

900 14TH St
Greeley, CO 80631

Mailing address

900 14TH St
Greeley, CO 80631
Phone (970) 304-0010

Other identifiers 1

IdentifierTypeStateIssuer
95534334MedicaidCO

Other names 1

  • Julia Lynn Bruce Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080612000475 CO Practitioner - Internal MedicinePractitioner - Nephrology 3476440892 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31120COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Services, PC Internal Medicine CurrentSince Jun 1, 2010 Accepting new patients
Inpatient Services, PC Internal Medicine CurrentSince Jun 1, 2010 Accepting new patients
Banner Greeley Specialists Past Accepting new patients
Carepoint P.C. Past Accepting new patients
Greeley Internal Medicine & Nephrology Internal Medicine Past Accepting new patients

Locations

1601 Lowell Blvd
Denver, CO 80204
Phone (303) 264-6900

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1639136385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 14TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80631",
            "telephone_number": "970-304-0010",
            "fax_number": "970-304-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 14TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80631",
            "telephone_number": "970-304-0010",
            "fax_number": "970-304-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "JULIA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "31120",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CO",
            "license": "31120",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "26748",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95534334",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "BRUCE",
            "middle_name": "LYNN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.