Bruce Lawrence MD Prof Corp

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

G24736 Issued in CA

Legal business name

BRUCE LAWRENCE MD PROF CORP

Practice address

445 30TH St
2ND Floor
Oakland, CA 94609-3301

Phone

(510) 465-2500

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Bruce P Lawrence, M.D.NPI 1710901616

Title

President

Phone

(510) 465-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Peter Lawrence, M.D.

  • Family Medicine Physician
  • Oakland, CA
  • NPI 1710901616
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1871685255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 30TH ST",
            "address_2": "2ND FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 30TH ST",
            "address_2": "2ND FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093301",
            "telephone_number": "510-465-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE LAWRENCE MD PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-465-2500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "G24736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G247360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Brownly
• John H. Brownson, MFT
• Amy Brownstein, RDN
• Barry Loren Brownstein
• Bruce D. Moorstein, MD a Medical Corp
• Amelia Bonita Bruce, D.C.
• Gretchen Bruce, DDS
• Monica Bruce
• Nancy L Bruder, MD
• Caitlin Elizabeth Bruen, RN

• Adult Medicine Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.