Active NPI
C. Bruce Schwartz, MD
- Orthopaedic Surgery Physician
- The Dalles, OR
National Provider Identifier
1740218353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD08596
- Practice address
- 551 Lone Pine Blvd
The Dalles, OR 97058 - Phone
- (541) 506-6500
- Fax
- (541) 296-6431
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 3570 | AK | |
| Orthopaedic Surgery Physician | 207X00000X | MD08596 | OR | Primary |
Addresses
Primary practice location
551 Lone Pine Blvd
The Dalles, OR 97058
Mailing address
PO Box 1520
The Dalles, OR 97058
Phone (541) 296-7668
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD2341 | Medicaid | AK | |
| 146162 | Other | WA | WASHING L&I |
| 292179 | Medicaid | OR | |
| 200027807 | Other | MEDICARE RAILROAD |
Other names 1
- Carl Bruce Schwartz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Columbia Medical Center | Past | Accepting new patients | |
| Mid-Columbia Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Adventist Health Columbia Gorge
- General Practice Physician
- The Dalles, OR
- NPI 1053409599
-
dba Adventist Health Columbia Gorge
- Rural Health Clinic/Center
- The Dalles, OR
- NPI 1154351336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1740218353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1520",
"city": "THE DALLES",
"state": "OR",
"postal_code": "97058",
"telephone_number": "541-296-7668",
"fax_number": "541-296-6431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 LONE PINE BLVD",
"city": "THE DALLES",
"state": "OR",
"postal_code": "97058",
"telephone_number": "541-506-6500",
"fax_number": "541-296-6431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "C.",
"middle_name": "BRUCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AK",
"license": "3570",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "MD08596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD2341",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHING L&I",
"identifier": "146162",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292179",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "200027807",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARL",
"last_name": "SCHWARTZ",
"middle_name": "BRUCE",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.