Individual provider Active NPI

Bruce Alan Fischer, MD

  • Psychiatry Physician
  • Cranston, RI
National Provider Identifier
1881753028
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD15163 Issued in RI
Practice address
1150 Reservoir Ave Ste 203
Cranston, RI 02920-6032
Phone
(401) 259-0340
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 027601 CT
Psychiatry Physician 2084P0800X MD15163 RI Primary

Addresses

Primary practice location

1150 Reservoir Ave Ste 203
Cranston, RI 02920-6032

Mailing address

1150 Reservoir Ave Ste 203
Cranston, RI 02920-6032
Phone (401) 259-0340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI, NY, MA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20060207000789 CT Practitioner - Psychiatry 6103831581 Reassigns benefits to 2 organizations
I20151104002095 RI Practitioner - Psychiatry 6103831581 Reassigns benefits to 1 organization
I20230410001452 NY Practitioner - Psychiatry 6103831581 Reassigns benefits to 1 organization
I20230428001245 MA Practitioner - Psychiatry 6103831581 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
027601CTMDPsychiatry Physician
MD15163RIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Jan 12, 2023 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Feb 14, 2023 Accepting new patients
Eleanor T. Howard, LLC PastSince Jul 1, 2020 Accepting new patients

Locations

777 W Putnam Ave
Ste 300
Greenwich, CT 06830
Phone (203) 542-2808

265 Franklin St
Ste 1702
Boston, MA 02110
Phone (203) 721-6500

109 W 27th St
New York, NY 10001
Phone (332) 206-6054

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

45 Industrial Rd
Ste 100
Cumberland, RI 02864
Phone (401) 368-1281

Interoperability endpoints

  • Direct secure messaging: brucefischer@tdh.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1881753028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE STE 203",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206032",
            "telephone_number": "401-259-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE STE 203",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206032",
            "telephone_number": "401-259-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "BRUCE",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "027601",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD15163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.