Active NPI
Bruce Golde, MS OTR
- Contractor
- Zionsville, IN
National Provider Identifier
1770825960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 31002313A
- Practice address
- 9401 E 200 S
Zionsville, IN 46077-9508 - Phone
- (317) 769-5596
- NPI assigned
- Mar 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 31002313A | IN | Primary |
Addresses
Primary practice location
9401 E 200 S
Zionsville, IN 46077-9508
Mailing address
9401 E 200 S
Zionsville, IN 46077-9508
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31002313A | IN | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364256000000",
"number": "1770825960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9401 E 200 S",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "460779508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 E 200 S",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "460779508",
"telephone_number": "317-769-5596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDE",
"first_name": "BRUCE",
"name_prefix": "Mr.",
"credential": "MS OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-26",
"last_updated": "2013-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "IN",
"license": "31002313A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zionsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.