NPIMap

Individual provider Active NPI

Bruce Peter Lawrence, M.D.

  • Family Medicine Physician
  • Oakland, CA
National Provider Identifier
1710901616
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G24736 Issued in CA
Practice address
445 30TH St
2ND FLR
Oakland, CA 94609-3301
Phone
(510) 465-2500
Fax
(510) 465-2502
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G24736 CA Primary

Addresses

Primary practice location

445 30TH St
2ND FLR
Oakland, CA 94609-3301

Mailing address

2710 Telegraph Ave
Ste 240
Oakland, CA 94612-1771
Phone (510) 465-2500

Other identifiers 1

IdentifierTypeStateIssuer
00G247360MedicaidCA

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
I20101108000755 CA Practitioner - Family Practice 2466647151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2710 Telegraph Ave
Suite 240
Oakland, CA 94612-1770

2710 Telegraph Ave
Suite 240
Oakland, CA 94612-1771

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.81 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
79.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G24736CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce Lawrence MD Prof Corp CurrentSince Aug 22, 2010 Accepting new patients

Locations

2710 Telegraph Ave
Ste 240
Oakland, CA 94612
Phone (210) 465-2500

445 30th St
Ste 2
Oakland, CA 94609
Phone (210) 465-2500

Interoperability endpoints

  • Direct secure messaging: bruceplawrencemd.brucelawrence@122075.advancedmd-direct.com

Organizations & group practices 1

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 12

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1710901616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 TELEGRAPH AVE",
            "address_2": "STE 240",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121771",
            "telephone_number": "510-465-2500",
            "fax_number": "510-465-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 30TH ST",
            "address_2": "2ND FLR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093301",
            "telephone_number": "510-465-2500",
            "fax_number": "510-465-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "BRUCE",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G24736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G247360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.