Individual provider Active NPI

L Bruce Ford, DPM

  • Podiatrist
  • Sparks, NV
National Provider Identifier
1831174531
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
23 Issued in NV
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

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
480480550OtherNVMRR
CH8729OtherNVRR GROUP PROVIDER # - EXPIRED 2/17/2008
211603MedicaidNV
490001810OtherNVRR 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

LicenseStateTypeSpecialty
23NVMDSpeech-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.

Verify at the official NPI Registry.