Active NPI
Stephen James Bruce, MD
- Family Medicine Physician
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 172988-1205
- Practice address
- 5740 Crestwood Dr
Ogden, UT 84405-4869 - Phone
- (801) 479-7771
- Fax
- (801) 479-7795
- NPI assigned
- Mar 16, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 172988-1205 | UT | Primary |
Addresses
Primary practice location
5740 Crestwood Dr
Ogden, UT 84405-4869
Mailing address
PO Box 5546
Denver, CO 80217-5546
Phone (801) 479-7771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4650 Harrison Blvd
Ogden, UT 84403-4303
Hospital & facility affiliations
- St Josephs Hospital and Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172988-1205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Health LLC | Current | Accepting new patients | |
| Ogden Clinic PC | Family Medicine | Current | Accepting new patients |
| Ogden Clinic Specialty Services LLC | Current | Accepting new patients |
Locations
1481 E 1450 S
Clearfield, UT 84015
Phone (801) 397-4300
5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100
4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481
55 S Professional Way
Payson, UT 84651
Phone (801) 465-9211
3419 W 12600 S
Riverton, UT 84065
Phone (801) 446-8400
5740 Crestwood Dr
South Ogden, UT 84405
Phone (801) 479-7771
85 E 2000 N
Tooele, UT 84074
Phone (435) 843-2000
598 W 900 S
Ste 220
Woods Cross, UT 84010
Phone (801) 693-2310
598 W 900 S
Ste 230
Woods Cross, UT 84010
Phone (385) 403-0410
598 W 900 S
Ste 105
Woods Cross, UT 84010
Phone (801) 693-4040
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJJGBA
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Ogden, UT
- NPI 1578550083
-
- Geriatric Medicine (Family Medicine) Physician
- Woods Cross, UT
- NPI 1134721228
-
- Sports Medicine (Family Medicine) Physician
- Ogden, UT
- NPI 1114203668
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1992131734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1841269321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5546",
"city": "DENVER",
"state": "CO",
"postal_code": "802175546",
"telephone_number": "801-479-7771",
"fax_number": "801-479-7795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5740 CRESTWOOD DR",
"city": "OGDEN",
"state": "UT",
"postal_code": "844054869",
"telephone_number": "801-479-7771",
"fax_number": "801-479-7795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "STEPHEN",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "172988-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.