Individual provider Active NPI

Bruce Myron Greenfield, MD

  • Medical Oncology Physician
  • Brainerd, MN
National Provider Identifier
1902805724
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
73-125 Issued in NM
Practice address
2024 South Sixth Street
Brainerd Medical Center
Brainerd, MN 56401
Phone
(218) 828-2880
Fax
(218) 828-7107
NPI assigned
Jul 14, 2005
Last updated
Oct 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 73-125 NM Primary

Addresses

Primary practice location

2024 South Sixth Street
Brainerd Medical Center
Brainerd, MN 56401

Mailing address

2024 South Sixth Street
Brainerd Medical Center
Brainerd, MN 56401
Phone (218) 828-2880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120305000641 NM Practitioner - Hematology/Oncology 3577613900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73-125NMMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PHC-Las Cruces Inc Current Accepting new patients
PHC Las Cruces CurrentSince Aug 22, 2017 Accepting new patients
St. Joseph's Medical Center Past Accepting new patients

Locations

2450 S Telshor Blvd
Ste B
Las Cruces, NM 88011
Phone (575) 556-5800

2530 S Telshor Blvd
Ste 107
Las Cruces, NM 88011
Phone (575) 556-6440

2530 S Telshor Blvd
Ste 201
Las Cruces, NM 88011
Phone (505) 521-1554

Interoperability endpoints

  • Direct secure messaging: mnoebels1@yourcarecommunity.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1902805724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 SOUTH SIXTH STREET",
            "address_2": "BRAINERD MEDICAL CENTER",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "56401",
            "telephone_number": "218-828-2880",
            "fax_number": "218-828-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 SOUTH SIXTH STREET",
            "address_2": "BRAINERD MEDICAL CENTER",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "56401",
            "telephone_number": "218-828-2880",
            "fax_number": "218-828-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFIELD",
        "first_name": "BRUCE",
        "middle_name": "MYRON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NM",
            "license": "73-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

Verify at the official NPI Registry.