Active NPI
Bruce M Becker, MD
- Emergency Medicine Physician
- Keystone, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C1665
- Practice address
- 1252 County Rd 8
Keystone, CO 80435-8043 - Phone
- (970) 486-6677
- Fax
- (970) 486-7908
- NPI assigned
- Jul 26, 2006
- Last updated
- Mar 5, 2025
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD06899 | RI | |
| Emergency Medicine Physician | 207P00000X | CP1117 | NE | |
| Internal Medicine Physician | 207R00000X | MD12086 | RI | |
| Occupational Medicine Physician | 2083X0100X | MD12086 | RI | |
| Emergency Medicine Physician | 207P00000X | 68575 | AZ | |
| Emergency Medicine Physician | 207P00000X | DR.0063634 | CO | |
| Emergency Medicine Physician | 207P00000X | C1665 | KY | Primary |
Addresses
Primary practice location
1252 County Rd 8
Keystone, CO 80435-8043
Mailing address
1252 Co Rd 8
Keystone, CO 80435
Other practice location 1
593 Eddy St
Providence, RI 02903-4923
Phone (401) 519-1604
Other practice location 2
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6183921 | Medicaid | MA | |
| 7000113 | Medicaid | RI | |
| 12/29/2008 | Other | MA | TUFTS HEALTH PLAN |
| 1891719712 | Other | RI | NPI |
| 939025129 | Other | RI | RI MEDICARE GROUP NUMBER |
| 07/01/2007 | Other | RI | BCBS |
| 04/15/2009 | Other | RI | UNITED HEALTHCARE |
| 7100925970 | Medicaid | KY | |
| 02/28/2006 | Other | RI | NHPRI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI, AZ, IA, KY, NE, TN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alegent Creighton Clinic
Practice addresses (Care Compare)
7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-5580
800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (712) 328-5490
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP1117 | NE | MD | Emergency Medicine Physician |
| MD12086 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Regional Medical Center | Emergency Medicine | Current | Accepting new patients |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Berkshire Medical Center, Inc | Current | Accepting new patients | |
| Northwest HBP Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Associates of New England PC | Emergency Medicine | Current | Accepting new patients |
| Progressive Medical Associates PLLC | Emergency Medicine | Current | Accepting new patients |
| Alegent Creighton Clinic | Current | Accepting new patients | |
| Alegent Creighton Clinic | Internal Medicine | Current | Accepting new patients |
| Emergency Care Services of New England PC | Emergency Medicine | Current | Accepting new patients |
| Sound Physicians Emergency Medicine of Arizona, Inc. | Emergency Medicine | Current | Accepting new patients |
| Steward Emergency Physicians, Inc | Emergency Medicine | Current | Accepting new patients |
| Berkshire Medical Center Inc. | Current | Accepting new patients |
Locations
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000
800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660
802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565
2771 Solution Ctr
Chicago, IL 60677
200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
3308 Samson Way
Bellevue, NE 68123
Phone (402) 291-3373
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880
200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000
100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000
5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556
Interoperability endpoints
- bbecker941472@direct.unitypoint.org
Organizations & group practices 17
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.
-
dba CHI Health Clinic
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
Internal Medicine
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
- Emergency Medicine Physician
- North Providence, RI
- NPI 1639537335
-
- Emergency Medicine Physician
- Wakefield, RI
- NPI 1427381052
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1548218613
-
- Emergency Medicine Physician
- Sierra Vista, AZ
- NPI 1700328663
-
- Emergency Medicine Physician
- Ayer, MA
- NPI 1780971275
-
dba UnityPoint Clinic
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
-
dba Med Center Health Emergency Plus UrgentCare
- Urgent Care Clinic/Center
- Bowling Green, KY
- NPI 1861380289
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI Health Lakeside
- General Acute Care Hospital
- Omaha, NE
- NPI 1649355132
-
dba CHI Health Mercy Council Bluffs
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1265517759
-
dba Lasting Hope Recovery Center
- Psychiatric Hospital Unit
- Omaha, NE
- NPI 1396969499
-
dba CHI Health Creighton University Medical Center-Bergan Mercy
- General Acute Care Hospital
- Omaha, NE
- NPI 1508941097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1891719712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1252 CO RD 8",
"city": "KEYSTONE",
"state": "CO",
"postal_code": "80435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1252 COUNTY RD 8",
"city": "KEYSTONE",
"state": "CO",
"postal_code": "804358043",
"telephone_number": "970-486-6677",
"fax_number": "970-486-7908"
}
],
"practiceLocations": [
{
"address_1": "593 Eddy St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029034923",
"country_code": "US",
"telephone_number": "401-519-1604",
"fax_number": "401-272-0538",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1221 S Broadway",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405042701",
"country_code": "US",
"telephone_number": "859-258-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECKER",
"first_name": "BRUCE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "RI",
"license": "MD06899",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NE",
"license": "CP1117",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD12086",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "RI",
"license": "MD12086",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "68575",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "DR.0063634",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "C1665",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6183921",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7000113",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "12/29/2008",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1891719712",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI MEDICARE GROUP NUMBER",
"identifier": "939025129",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "07/01/2007",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "04/15/2009",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100925970",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHPRI",
"identifier": "02/28/2006",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Keystone, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.