Individual provider Active NPI

Joshua Bruce, D.C.

  • Chiropractor
  • Pleasanton, CA
National Provider Identifier
1790059665
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32212 Issued in CA
Practice address
7051 Commerce Cir
B
Pleasanton, CA 94588-8028
Phone
(925) 462-5557
Fax
(925) 462-5560
NPI assigned
Feb 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32212 CA Primary

Addresses

Primary practice location

7051 Commerce Cir
B
Pleasanton, CA 94588-8028

Mailing address

7051 Commerce Cir
B
Pleasanton, CA 94588-8028
Phone (925) 462-5557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150729009284 CA Practitioner - Chiropractic 4880908292 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce Chiropractic Corporation CurrentSince Jun 24, 2015 Accepting new patients

Locations

7051 Commerce Cir
Ste B
Pleasanton, CA 94588
Phone (925) 462-5557

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1790059665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 COMMERCE CIR",
            "address_2": "B",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888028",
            "telephone_number": "925-462-5557",
            "fax_number": "925-462-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 COMMERCE CIR",
            "address_2": "B",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888028",
            "telephone_number": "925-462-5557",
            "fax_number": "925-462-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "JOSHUA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-23",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.