NPIMap

Individual provider Active NPI

Bruce Evan Witmer, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Reno, NV
National Provider Identifier
1639150022
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
8283 Issued in NV
Practice address
6255 Sharlands Ave
Reno, NV 89523-2882
Phone
(775) 248-1267
Fax
(775) 305-1267
NPI assigned
Nov 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 8283 NV Primary

Addresses

Primary practice location

6255 Sharlands Ave
Reno, NV 89523-2882

Mailing address

6255 Sharlands Ave
Reno, NV 89523-2882
Phone (775) 248-1267

Other identifiers 3

IdentifierTypeStateIssuer
11191170OtherCAQH
XPY194499OtherCAMEDI-CAL PIN
20-16215MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100319000336 NV Practitioner - Physical Medicine and RehabilitationPractitioner - Orthopedic Surgery 7012005218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bruce E. Witmer M.D. P.C.Group PAC ID 4385042548, 2 clinicians
Bruce E Mullen a Professional CorporationGroup PAC ID 6002717766, 3 clinicians

Practice addresses (Care Compare)

6255 Sharlands Ave
Reno, NV 89523-2882
Phone (775) 248-1267

755 N Roop St
Suite 112
Carson City, NV 89701-3107
Phone (775) 883-7938

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.94 of 100Reported as group
Quality
95
Improvement activities
40
Cost
83.13

Merit-based Incentive Payment System (MIPS)

Final score
90.27 of 100Reported as group
Improvement activities
40
Cost
74.84

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce E Witmer MD PC CurrentSince Jul 1, 2021 Accepting new patients
Bruce E Mullen a Professional Corporation Physical Medicine & Rehabilitation CurrentSince Feb 1, 2022 Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients

Locations

755 N Roop St
Ste 112
Carson City, NV 89701
Phone (775) 883-7938

6255 Sharlands Ave
Reno, NV 89523
Phone (775) 245-6117

Interoperability endpoints

  • Direct secure messaging: corspine.bruceewitmer@150554.advancedmd-direct.com

Organizations & group practices 7

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1639150022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 SHARLANDS AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895232882",
            "telephone_number": "775-248-1267",
            "fax_number": "775-305-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 SHARLANDS AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895232882",
            "telephone_number": "775-248-1267",
            "fax_number": "775-305-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITMER",
        "first_name": "BRUCE",
        "middle_name": "EVAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "8283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11191170",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PIN",
            "identifier": "XPY194499",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20-16215",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.