Active NPI
Bruce Thomas Hewett, M.D.
- Pediatrics Physician
- Vacaville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G61856
- Practice address
- 421 Nut Tree Rd
Vacaville, CA 95687-3508 - Phone
- (707) 624-7500
- NPI assigned
- May 22, 2006
- Last updated
- May 8, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G61856 | CA | Primary |
Addresses
Primary practice location
421 Nut Tree Rd
Vacaville, CA 95687-3508
Mailing address
421 Nut Tree Rd
Vacaville, CA 95687-3508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Colorado School of Medicine, Denver, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Main St
Winters, CA 95694-1930
Phone (707) 646-5500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G61856 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northbay Health Medical Foundation | Pediatrics | Current | Accepting new patients |
| Northbay Healthcare Group | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | Accepting new patients |
Locations
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
4520 Business Center Dr
Ste 200
Fairfield, CA 94534
Phone 7076463500 ext. 3524
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999
421 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 455-3000
101 Main St
Winters, CA 95694
Phone (530) 795-4123
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NorthBay Health Medical Network
- Internal Medicine Physician
- Fairfield, CA
- NPI 1760283527
Pediatrics
-
dba dba NorthBay Medical Center
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
dba NorthBay VacaValley Hospital
- Multi-Specialty Clinic/Center
- Vacaville, CA
- NPI 1760534713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336435200000",
"number": "1710932660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 NUT TREE RD",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956873508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 NUT TREE RD",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956873508",
"telephone_number": "707-624-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEWETT",
"first_name": "BRUCE",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2012-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G61856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.