Individual provider Active NPI

Bruce Curtis Ornstein, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Live Oak, FL
National Provider Identifier
1760402168
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2359 Issued in FL
Practice address
609 5TH Street SW
Suite 4
Live Oak, FL 32064-2239
Phone
(386) 362-2555
Fax
(352) 362-2557
NPI assigned
Jul 20, 2006
Last updated
Oct 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO2359 FL Primary

Addresses

Primary practice location

609 5TH Street SW
Suite 4
Live Oak, FL 32064-2239

Mailing address

PO Box 358870
Gainesville, FL 32635-8870
Phone (386) 362-2555

Other identifiers 3

IdentifierTypeStateIssuer
P00693759OtherRAILROAD MEDICARE
390209900MedicaidFL
65351ZOtherFLMEDICARE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Podiatry Foot & Ankle Surgery PastSince Aug 24, 2011 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, 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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1760402168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358870",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326358870",
            "telephone_number": "386-362-2555",
            "fax_number": "386-362-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 5TH STREET SW",
            "address_2": "SUITE 4",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320642239",
            "telephone_number": "386-362-2555",
            "fax_number": "352-362-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORNSTEIN",
        "first_name": "BRUCE",
        "middle_name": "CURTIS",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00693759",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390209900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "65351Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.