Individual provider Active NPI

Bruce Kevin Zieger, P.A.

  • Medical Physician Assistant
  • Aurora, CO
National Provider Identifier
1750459871
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
822 Issued in CO
Practice address
1421 S Potomac St
Suite 320
Aurora, CO 80012-4535
Phone
(303) 750-1920
Fax
(303) 750-0483
NPI assigned
Nov 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 822 CO Primary

Addresses

Primary practice location

1421 S Potomac St
Suite 320
Aurora, CO 80012-4535

Mailing address

1421 S Potomac St
Suite 320
Aurora, CO 80012-4535
Phone (303) 750-1920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160201002800 CO Practitioner - Physician Assistant 0345544029 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
822COMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: bzieger@directaddress.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750459871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 S POTOMAC ST",
            "address_2": "SUITE 320",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124535",
            "telephone_number": "303-750-1920",
            "fax_number": "303-750-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 S POTOMAC ST",
            "address_2": "SUITE 320",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124535",
            "telephone_number": "303-750-1920",
            "fax_number": "303-750-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEGER",
        "first_name": "BRUCE",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.