Bruce Jones, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036061729 Issued in IL

Practice address

3635 14TH Ave
Rock Island, IL 61201-3069

Phone

(309) 788-6244

Fax

(309) 788-6268

NPI assigned

Apr 6, 2006

Last updated

Sep 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Epmg of Illinois LLC

  • Emergency Medicine Physician
  • Kankakee, IL
  • NPI 1528098902
  NPD (past)
• Stephen C. Thompson, M.D.,S.C.

  • Obstetrics & Gynecology Physician
  • Peoria, IL
  • NPI 1922042233
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1902869548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 14TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612013069",
            "telephone_number": "309-788-6244",
            "fax_number": "309-788-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 14TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612013069",
            "telephone_number": "309-788-6244",
            "fax_number": "309-788-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036061729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061729",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anitra Johnson, RN
• Dana Ellyn Johnson, DPT
• Quinn Cameron Johnson, RN
• Margaret Jones-Meersman, DPT
• Brandon Jones
• Stephanie Kaye Jones
• Nimpaye Maombi Joselyne, MA
• Brett G Josie, PA-C
• Katie Londa Judge
• Penny Kain, LCSW

• Family Medicine Physician in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.