Jacob Francis Bruce, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT60872539 Issued in WA

Practice address

515 N Stratford Rd
Moses Lake, WA 98837-1572

Phone

(509) 766-4277

Fax

(509) 766-4280

NPI assigned

Nov 20, 2019

Last updated

Nov 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1780220269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N STRATFORD RD",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371572",
            "telephone_number": "509-766-4277",
            "fax_number": "509-766-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N STRATFORD RD",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371572",
            "telephone_number": "509-766-4277",
            "fax_number": "509-766-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "JACOB",
        "middle_name": "FRANCIS",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "PT60872539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annalee Brown, PA-C
• Kelli Renae Brown, LMP
• John F Browne, PA-C
• Sharon Browne, RN
• Elise Nicole Bruce
• Joshua Lawrence Bruce, DPT
• Randy Clair Bruce, MSPT
• Philip D Buckley, MD
• Natalie Buckman, ARNP, MSN, FNP-C
• Holly Ann Burgess Rock, BS MFT INTERN

• Physical Medicine & Rehabilitation Physician in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.