Bruce William Hallmann, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

036055517 Issued in IL

Practice address

5201 S Willow Springs Rd
Suite 220
La Grange, IL 60525

Phone

(708) 588-0334

Fax

(708) 588-0337

NPI assigned

Sep 15, 2006

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1689770992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 S WILLOW SPRINGS RD",
            "address_2": "SUITE 220",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "60525",
            "telephone_number": "708-588-0334",
            "fax_number": "708-588-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 S WILLOW SPRINGS RD",
            "address_2": "SUITE 220",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "60525",
            "telephone_number": "708-588-0334",
            "fax_number": "708-588-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLMANN",
        "first_name": "BRUCE",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036055517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5151090001",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055517",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200005698",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Michele Gross-McCoy, PTA
• Jennifer M Gula, O.D.
• Deanne Marie Gustafson
• John Nagle Hackett, M.D.
• Afshan Hafiz Ahmed, MD
• Laura Hamilton, BCBA
• Neive Hanak, RN
• Joanne R. Harman
• Jennifer Lynn Hart, M.S. OTR/L
• Allison Louise Harvey, OTD

• All providers in La Grange, IL
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.