Active NPI
Bruce Martin Nigro, D.P.M.
- Podiatrist
- Palm Bay, FL
National Provider Identifier
1699736736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO2767
- Practice address
- 2101 Pumpkin PL NE
Palm Bay, FL 32905-4006 - Phone
- (321) 412-1705
- Fax
- (321) 726-5959
- NPI assigned
- Mar 29, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO2767 | FL | Primary |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | PO2767 | FL | |
| Foot Surgery Podiatrist | 213ES0131X | PO2767 | FL |
Addresses
Primary practice location
2101 Pumpkin PL NE
Palm Bay, FL 32905-4006
Mailing address
2101 Pumpkin PL NE
Palm Bay, FL 32905-4006
Phone (321) 412-1705
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65242 | Other | FL | BCBS |
| 340491900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO2767 | FL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul D Brooks DPM PA | Past | Accepting new patients | |
| Diversified Specialties | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Micco, FL
- NPI 1508992777
-
- Foot & Ankle Surgery Podiatrist
- Pensacola, FL
- NPI 1629266622
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": "1439683200000",
"number": "1699736736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 PUMPKIN PL NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329054006",
"telephone_number": "321-412-1705",
"fax_number": "321-726-5959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 PUMPKIN PL NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329054006",
"telephone_number": "321-412-1705",
"fax_number": "321-726-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIGRO",
"first_name": "BRUCE",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2015-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO2767",
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "FL",
"license": "PO2767",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "FL",
"license": "PO2767",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "65242",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340491900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.