Active NPI
David I Bruce, D.O.
- Family Medicine Physician
- Mesa, AZ
National Provider Identifier
1740250505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3358
- Practice address
- 2310 E Brown Rd
Mesa, AZ 85213-5226 - Phone
- (480) 649-9000
- NPI assigned
- Jan 25, 2006
- Last updated
- Aug 24, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3358 | AZ | Primary |
Addresses
Primary practice location
2310 E Brown Rd
Mesa, AZ 85213-5226
Mailing address
2310 E Brown Rd
Mesa, AZ 85213-5226
Phone (480) 649-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3358 | Other | AZ | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3358 | AZ | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brown Road Family Medicine, PLLC | Current | Accepting new patients |
Locations
2310 E Brown Rd
Mesa, AZ 85213
Phone (480) 649-9000
Interoperability endpoints
- david.bruce.p1@direct.brfmvmed.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir4.healow.com/fhir/r4/CDACDD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Preferred Provider Organization
- Mesa, AZ
- NPI 1518081066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1740250505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 E BROWN RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852135226",
"telephone_number": "480-649-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 E BROWN RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852135226",
"telephone_number": "480-649-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "DAVID",
"middle_name": "I",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "3358",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "3358",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.