Thomas Bruce, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R21818 Issued in ND

Practice address

419 5TH St NE
Jamestown, ND 58401-3300

Phone

(701) 252-1050

Fax

(701) 253-4798

NPI assigned

Jan 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1710965389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 5TH ST NE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584013300",
            "telephone_number": "701-252-1050",
            "fax_number": "701-253-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 5TH ST NE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584013300",
            "telephone_number": "701-252-1050",
            "fax_number": "701-253-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "THOMAS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ND",
            "license": "R21818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ND",
            "identifier": "3479",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP42318",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "449161008624",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phil J Brossart, LSW
• Rylie Brothers
• Alicia Marie Brown, LSW
• Stephen William Brown Sr.
• Brooke Rae Bruce, LMT
• Kayla Brunmeier
• Jenna Bruns
• Jessica Ann Bruscher, DPT
• Kayleigh Buchanan
• Jodi R Bunde, LRD

• Certified Registered Nurse Anesthetist in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Certified Registered Nurse Anesthetist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.