Bruce Fernandes, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1291 Issued in MA

Practice address

35 Winter St
Hyannis, MA 02601-3827

Phone

(508) 790-3863

Fax

(508) 790-3863

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1699880914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 OLD COLONY DR",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026492532",
            "telephone_number": "508-477-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WINTER ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013827",
            "telephone_number": "508-790-3863",
            "fax_number": "508-790-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1611603",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew S Favazza, FNP
• Kathleen Fedele
• William Nicholas Fenney, MD
• Catherine Fenwick
• Lisa Renee Ferley, MD
• Kim Lee Fernandes
• Tieko Saito Fernandes, LMT
• Jose Fernandez
• Joy Ferney
• Michael W. Feuer, MD

• Chiropractor in Hyannis, MA
• Providers in Hyannis, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.