Active NPI
Bruce I Lobar, MD
- Neurology Physician
- The Villages, FL
National Provider Identifier
1679534853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME115085
- Practice address
- 1580 Santa Barbara Blvd
The Villages, FL 32159-6827 - Phone
- (352) 259-2159
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | M5820 | TX | |
| Neurology Physician | 2084N0400X | 35132049 | OH | |
| Neurology Physician | 2084N0400X | D0035586 | MD | |
| Neurology Physician | 2084N0400X | 0101038169 | VA | |
| Neurology Physician | 2084N0400X | MD033604E | PA | |
| Neurology Physician | 2084N0400X | 351302049 | OH | |
| Neurology Physician | 2084N0400X | ME115085 | FL | Primary |
Addresses
Primary practice location
1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Mailing address
1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone (352) 259-2159
Other practice location 1
2213 Cherry Street
Toledo, OH 43608-8682
Phone (419) 251-8019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0035586 | MD | MD | Neurology Physician |
| 351302049 | OH | MD | Neurology Physician |
| 35132049 | OH | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Associates All Florida, LLC | Current | Accepting new patients | |
| Premier Specialty Alliance Inc | Current | Accepting new patients | |
| Premier Medical Associates of Florida Healthcare, PA | Current | Accepting new patients | |
| Premier Medical Associates of Florida LLC | Current | Accepting new patients | |
| Premier Medical Associates of Florida LLC | Current | Accepting new patients |
Locations
1580 Santa Barbara Blvd
Ste D
The Villages, FL 32159
Phone (352) 508-1512
1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882
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.
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1093829442
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1023612827
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1366046179
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1477970606
-
- Clinical Laboratory Director (Non-physician)
- Ocala, FL
- NPI 1417475872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1679534853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1580 SANTA BARBARA BLVD",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321596827",
"telephone_number": "352-259-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 SANTA BARBARA BLVD",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321596827",
"telephone_number": "352-259-2159"
}
],
"practiceLocations": [
{
"address_1": "2213 Cherry Street",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436088682",
"country_code": "US",
"telephone_number": "419-251-8019",
"fax_number": "419-251-5819",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOBAR",
"first_name": "BRUCE",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "M5820",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35132049",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MD",
"license": "D0035586",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101038169",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD033604E",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "351302049",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME115085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.