Individual provider Active NPI

Bruce Robert Leslie, M.D.

  • Nephrology Physician
  • Washington, DC
National Provider Identifier
1689696452
Registry record updated May 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
133449 Issued in NY
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

Updated by the provider on May 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1332127MedicaidLA

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
Green means eligible to order or refer.

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

Verify at the official NPI Registry.