Organization Active NPI

Bruce Medical, PLLC

  • Surgery Physician
  • Thornton, CO
National Provider Identifier
1861055279
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BRUCE MEDICAL, PLLC
Practice address
9191 Grant St
Thornton, CO 80229-4361
Phone
(303) 451-7800
NPI assigned
Apr 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Authorized official

Name
Sidney Bruce, MDNPI 1003044520
Title
General Surgeon
Phone
(915) 443-2651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

9191 Grant St
Thornton, CO 80229-4361

Mailing address

1131 Redleaf Dr
Nolanville, TX 76559-4653
Phone (915) 861-6144

Other practice location 1

1131 Redleaf Dr
Nolanville, TX 76559-4653
Phone (915) 861-6144

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1861055279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 REDLEAF DR",
            "city": "NOLANVILLE",
            "state": "TX",
            "postal_code": "765594653",
            "telephone_number": "915-861-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 GRANT ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294361",
            "telephone_number": "303-451-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1131 Redleaf Dr",
            "address_purpose": "LOCATION",
            "city": "Nolanville",
            "state": "TX",
            "postal_code": "765594653",
            "country_code": "US",
            "telephone_number": "915-861-6144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRUCE MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "915-443-2651",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.