Organization Active NPI

Bruce Devon, M.D., P.C.

  • Urology Physician
  • Melrose, MA
National Provider Identifier
1639201429
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
42568 Issued in MA
Legal business name
BRUCE DEVON, M.D., P.C.
Practice address
8 Porter St
Melrose, MA 02176-2824
Phone
(617) 387-3851
Fax
(781) 979-0555
NPI assigned
Mar 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bruce Devon, MDNPI 1205849155
Title
President
Phone
(617) 387-3851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 42568 MA Primary

Addresses

Primary practice location

8 Porter St
Melrose, MA 02176-2824

Mailing address

8 Porter St
Melrose, MA 02176-2824
Phone (617) 387-3851

National Provider Directory

National Provider Directory

Locations

8 Porter St
Melrose, MA 02176
Phone (617) 387-3851

570 Broadway
Revere, MA 02151
Phone (781) 387-3851

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639201429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PORTER ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762824",
            "telephone_number": "617-387-3851",
            "fax_number": "781-979-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PORTER ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762824",
            "telephone_number": "617-387-3851",
            "fax_number": "781-979-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE DEVON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEVON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-387-3851",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MA",
            "license": "42568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.