Bruce J Fisch, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

31254 Issued in CO

Practice address

9695 S Yosemite St
Suite 285
Lone Tree, CO 80124-2888

Phone

(303) 799-8760

Fax

(303) 799-8767

NPI assigned

Nov 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Livenew, Co.

  • Surgery Physician
  • Englewood, CO
  • NPI 1336669076
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1639151913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 RAMPART WAY",
            "address_2": "300-B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306440",
            "telephone_number": "303-327-4700",
            "fax_number": "303-327-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9695 S YOSEMITE ST",
            "address_2": "SUITE 285",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242888",
            "telephone_number": "303-799-8760",
            "fax_number": "303-799-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCH",
        "first_name": "BRUCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CO",
            "license": "31254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01312545",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C462628",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Feulner, DO
• Kavanya Feustel, MD
• FHC,MD, P.C.
• Cameron Joseph Field, DPM
• Stacy Heather Finney, R.N.
• James Antony Fischer, D.D.S.
• Eileen M Fish, MD
• Cara Iapalucci Fiske, AU.D.
• Jacqueline A. Fitch
• Carroll Fitzgerald, RN

• Nephrology Physician in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Nephrology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.