Active NPI
Bruce Robert Leslie, M.D.
- Nephrology Physician
- Washington, DC
National Provider Identifier
1689696452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 133449
- Practice address
- 2501 M St NW Unit 210
Washington, DC 20037-1314 - Phone
- (504) 931-3484
- Fax
- (609) 225-5224
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 133449 | NY | Primary |
Addresses
Primary practice location
2501 M St NW Unit 210
Washington, DC 20037-1314
Mailing address
2501 M St NW Unit 210
Washington, DC 20037-1314
Phone (504) 931-3484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1332127 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653696000000",
"number": "1689696452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 M ST NW UNIT 210",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371314",
"telephone_number": "504-931-3484",
"fax_number": "609-225-5224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 M ST NW UNIT 210",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371314",
"telephone_number": "504-931-3484",
"fax_number": "609-225-5224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESLIE",
"first_name": "BRUCE",
"middle_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2022-05-28",
"certification_date": "2022-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "133449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1332127",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.