Organization Active NPI

Bruce M Albert M D

  • Specialist
  • Newport Beach, CA
National Provider Identifier
1811069818
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G040650 Issued in CA
Legal business name
BRUCE M ALBERT M D
Practice address
1000 Bristol St North
Suite17-113
Newport Beach, CA 92660
Phone
(949) 727-0770
Fax
(949) 727-7432
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Authorized official

Name
Dr. Bruce M. Albert, M.D.
Title
Orthopedic Surgeon
Phone
(949) 727-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G040650 CA Primary

Addresses

Primary practice location

1000 Bristol St North
Suite17-113
Newport Beach, CA 92660

Mailing address

1000 Bristol St North
Suite17-113
Newport Beach, CA 92660
Phone (949) 727-0770

Other names 1

  • ELITE ORTHOPEDICS & SPORTS MEDICINE Other name

National Provider Directory

National Provider Directory

Locations

1000 Bristol St N
Ste 17113
Newport Beach, CA 92660
Phone (949) 727-0770

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1811069818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BRISTOL ST NORTH",
            "address_2": "SUITE17-113",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-727-0770",
            "fax_number": "949-727-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BRISTOL ST NORTH",
            "address_2": "SUITE17-113",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-727-0770",
            "fax_number": "949-727-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE M ALBERT M D",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "949-727-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G040650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELITE ORTHOPEDICS & SPORTS MEDICINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.