NPIMap

Individual provider Active NPI

Bruce R Nixon, M.D.

  • Diagnostic Radiology Physician
  • Fremont, CA
National Provider Identifier
1700840238
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G45677 Issued in CA
Practice address
2000 Mowry Ave
Fremont, CA 94538-1716
Phone
(510) 797-3342
Fax
(510) 713-8776
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G45677 CA Primary

Addresses

Primary practice location

2000 Mowry Ave
Fremont, CA 94538-1716

Mailing address

PO Box 5015
San Ramon, CA 94583-0915
Phone (925) 837-5616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040513000833 CA Practitioner - Diagnostic Radiology 6901896810 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Pennsylvania State University College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Helena HospitalGroup PAC ID 8729059878, 85 clinicians

Practice addresses (Care Compare)

10 Woodland Rd
Saint Helena, CA 94574-9554
Phone (707) 963-3611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.91 of 100Reported as group
Quality
75.49
Promoting interoperability
94
Improvement activities
40
Cost
73.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45677CAMDInternal Medicine Physician
G45677CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Valley MRI and Radiology Inc Diagnostic Radiology CurrentSince Mar 16, 2019 Accepting new patients
Adventist Health Physicians Network CurrentSince Feb 1, 2024 Accepting new patients
St. Helena Hospital CurrentSince Dec 14, 2023 Accepting new patients
St. Helena Hospital Current Accepting new patients
Adventist Health Physicians Network CurrentSince Feb 1, 2024 Accepting new patients

Locations

913 Washington St
Calistoga, CA 94515
Phone (707) 942-0844

821 Saint Helena Hwy S
Ste 2
Saint Helena, CA 94574
Phone (707) 967-7551

6 Woodland Rd
Ste 202
Saint Helena, CA 94574
Phone (707) 963-5294

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

546 E Pine St
Stockton, CA 95204
Phone (209) 467-1000

Interoperability endpoints

  • Direct secure messaging: bnixon13408@direct.whhs.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1700840238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5015",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945830915",
            "telephone_number": "925-837-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381716",
            "telephone_number": "510-797-3342",
            "fax_number": "510-713-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "BRUCE",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G45677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.