Individual provider Active NPI

Bruce M Becker, MD

  • Emergency Medicine Physician
  • Keystone, CO
National Provider Identifier
1891719712
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C1665 Issued in KY
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6183921MedicaidMA
7000113MedicaidRI
12/29/2008OtherMATUFTS HEALTH PLAN
1891719712OtherRINPI
939025129OtherRIRI MEDICARE GROUP NUMBER
07/01/2007OtherRIBCBS
04/15/2009OtherRIUNITED HEALTHCARE
7100925970MedicaidKY
02/28/2006OtherRINHPRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI, AZ, IA, KY, NE, TN, TX8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20040729001251 MA Practitioner - Emergency Medicine 7618947250 Reassigns benefits to 2 organizations
I20111102000757 RI Practitioner - Internal MedicinePractitioner - Emergency Medicine 7618947250 Reassigns benefits to 2 organizations
I20230301002752 AZ Practitioner - Emergency Medicine 7618947250 Reassigns benefits to 3 organizations
I20230311000152 IA Practitioner - Emergency Medicine 7618947250 Reassigns benefits to 2 organizations
I20230721001410 KY Practitioner - Emergency Medicine 7618947250 Reassigns benefits to 2 organizations
I20241210002404 NE Practitioner - Emergency Medicine 7618947250 Reassigns benefits to 1 organization
I20260323002418 TN Practitioner - Emergency Medicine 7618947250 Reassigns benefits to 2 organizations
I20260616004819 TX Practitioner - Emergency Medicine 7618947250 Reassigns benefits to 1 organization

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 ClinicGroup PAC ID 1951210418, shared by 2 NPIs, 951 clinicians

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

LicenseStateTypeSpecialty
CP1117NEMDEmergency Medicine Physician
MD12086RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center Emergency Medicine CurrentSince Feb 9, 2023 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Berkshire Medical Center, Inc CurrentSince May 13, 2024 Accepting new patients
Northwest HBP Medical Services LLC Emergency Medicine CurrentSince Nov 11, 2024 Accepting new patients
Emergency Physician Associates of New England PC Emergency Medicine CurrentSince Feb 6, 2020 Accepting new patients
Progressive Medical Associates PLLC Emergency Medicine CurrentSince Feb 11, 2023 Accepting new patients
Alegent Creighton Clinic CurrentSince Dec 18, 2024 Accepting new patients
Alegent Creighton Clinic Internal Medicine CurrentSince Dec 18, 2024 Accepting new patients
Emergency Care Services of New England PC Emergency Medicine CurrentSince Jun 1, 2021 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Emergency Medicine CurrentSince Mar 15, 2023 Accepting new patients
Steward Emergency Physicians, Inc Emergency Medicine CurrentSince Apr 8, 2022 Accepting new patients
Berkshire Medical Center Inc. CurrentSince May 13, 2024 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

  • Direct secure messaging: 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.

View all 17

Hospital & facility affiliations 4

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

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

Verify at the official NPI Registry.