Active NPI
L Bruce Ford, DPM
- Podiatrist
- Sparks, NV
National Provider Identifier
1831174531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 23
- Practice address
- 2321 Pyramid Way
Sparks, NV 89431-8700 - Phone
- (775) 331-2321
- Fax
- (775) 331-2008
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 23 | NV | Primary |
Addresses
Primary practice location
2321 Pyramid Way
Sparks, NV 89431-8700
Mailing address
2321 Pyramid Way
Sparks, NV 89431-8700
Phone (775) 331-2321
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480480550 | Other | NV | MRR |
| CH8729 | Other | NV | RR GROUP PROVIDER # - EXPIRED 2/17/2008 |
| 211603 | Medicaid | NV | |
| 490001810 | Other | NV | RR INDIVIDUAL PROV # - EXPIRED 2/17/2008 |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23 | NV | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209340800000",
"number": "1831174531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2321 PYRAMID WAY",
"city": "SPARKS",
"state": "NV",
"postal_code": "894318700",
"telephone_number": "775-331-2321",
"fax_number": "775-331-2008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 PYRAMID WAY",
"city": "SPARKS",
"state": "NV",
"postal_code": "894318700",
"telephone_number": "775-331-2321",
"fax_number": "775-331-2008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "L",
"middle_name": "BRUCE",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2008-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NV",
"license": "23",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MRR",
"identifier": "480480550",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR GROUP PROVIDER # - EXPIRED 2/17/2008",
"identifier": "CH8729",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211603",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR INDIVIDUAL PROV # - EXPIRED 2/17/2008",
"identifier": "490001810",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.