Bruce Edmund Staley, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35046235S Issued in OH

Practice address

891 W Locust St
Wilmington, OH 45177-2118

Phone

(937) 382-5030

Fax

(937) 655-8390

NPI assigned

Aug 24, 2005

Last updated

May 6, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Cincinnati College of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians

RCHP-Wilmington, LLCGroup PAC ID 6709065931, 6 clinicians

Wilmington Physicians Group LLCGroup PAC ID 4688853419, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trihealth Clinton Regional Hospital Hospital, Wilmington, OH, CCN 360175

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bruce.staley.2@6237.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• RCHP-Wilmington, LLC

  • Emergency Medicine Physician
  • Wilmington, OH
  • NPI 1063715712
  Medicare reassignment Care Compare group NPD
• Trihealth G LLC

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1295862944
  Medicare reassignment Care Compare group NPD
• Wilmington Physicians Group LLC

  • Family Medicine Physician
  • Wilmington, OH
  • NPI 1932401411
  Medicare reassignment Care Compare group NPD
• Internal Medicine Associates of Clinton County Inc

  • Internal Medicine Physician
  • Wilmington, OH
  • NPI 1134112329
  Authorized official Same address or phone
• Clinton Memorial Hospital of Wilmington Clinton County Ohio

  dba CMH Regional Health System

  • Rural Acute Care Hospital
  • Wilmington, OH
  • NPI 1427064641
  NPD
• RCHP - Wilmington LLC

  dba CMH Regional Health System Senior Behavioral Care

  • Psychiatric Hospital Unit
  • Wilmington, OH
  • NPI 1801229034
  NPD
• Trihealth G, LLC

  dba GE Family Wellness Center Pharmacy

  • Community/Retail Pharmacy
  • Cincinnati, OH
  • NPI 1184023640
  NPD
• Access Medical Group LLC

  • Internal Medicine Physician
  • Marion, OH
  • NPI 1295900827
  NPD (past)
• Meritra Physicians LLC

  • Hospitalist Physician
  • Marion, OH
  • NPI 1629552203
  NPD (past)
• Trihealth H LLC

  • Obstetrics Physician
  • Cincinnati, OH
  • NPI 1811215742
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Trihealth Hospital, Inc.

  dba TriHealth Clinton Regional Hospital

  • General Acute Care Hospital
  • Wilmington, OH
  • NPI 1457243586
  Care Compare affiliation

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1841283033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 W LOCUST ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772118",
            "telephone_number": "937-382-5030",
            "fax_number": "937-655-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 W LOCUST ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772118",
            "telephone_number": "937-382-5030",
            "fax_number": "937-655-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALEY",
        "first_name": "BRUCE",
        "middle_name": "EDMUND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35046235S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0551451",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRON WORKERS BENEFIT TRUS",
            "identifier": "00000020491",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA CHOICE CARE",
            "identifier": "46235",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0420218",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000020491",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE FOR LIFE",
            "identifier": "0014450",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "IN9287051",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwestern Ohio Urology Inc
• Madison Spangler
• Shyla Kayann Sparks
• Kimberly Dawn Speaks, RN
• Puja Srivastava, MD
• Juliane Stanton, PA-C
• James Craig Strafford, M.D.
• Rebecca E Strauss-Sweet, PT
• Steven Streibick
• Matthew Paul Stroud

• Internal Medicine Physician in Wilmington, OH
• Providers in Wilmington, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.

Verify at the official NPI Registry.