Bruce I Kilstein, D.O.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

DO00640 Issued in RI

Practice address

207 Quaker Lane
West Warwick, RI 02893

Phone

(401) 828-7110

Fax

(401) 827-6364

NPI assigned

Aug 2, 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 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Lancaster County Urological Associates

  • Urology Physician
  • Lancaster, PA
  • NPI 1295758555
  NPD (past)
• Lancaster Hma Physician Management, LLC

  • Family Medicine Physician
  • Lancaster, PA
  • NPI 1932272341

  Urology

  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1710994686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "address_2": "ATTN: PAYER CONTRACTING & RELATIONS",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 QUAKER LANE",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "02893",
            "telephone_number": "401-828-7110",
            "fax_number": "401-827-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILSTEIN",
        "first_name": "BRUCE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "RI",
            "license": "DO00640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5079481",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA336911",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P01281046",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6562991",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BK95604",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P01277535",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Joubert, PHARMD
• Peyton Rose Judge, LICSW
• Anthony J Kazlauskas, M.D.
• Jessica Keoviphone, LCSW
• Karim Z Khanbhai, M.D.
• Kerri Lynn Kyriakakis, LCDP
• Vincent A Labarbera, M.D.
• David Eugene Labean, LMT
• Frank W Lafazia, D.O.
• Jeannette Laferriere, MD

• Urology Physician in West Warwick, RI
• Providers in West Warwick, RI by specialty
• Urology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.