Active NPI
Bruce A Cross, MD
- Radiation Oncology Physician
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 36469
- Practice address
- 1502 Dodson Ave
Fort Smith, AR 72901-5128 - Phone
- (479) 709-7190
- Fax
- (479) 709-7193
- NPI assigned
- Aug 22, 2005
- Last updated
- Aug 29, 2023
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 35.056720 | OH | |
| Radiation Oncology Physician | 2085R0001X | E7178 | AR | |
| Radiation Oncology Physician | 2085R0001X | 0431774 | KS | |
| Therapeutic Radiology Physician | 2085R0203X | H4893 | TX | |
| Radiation Oncology Physician | 2085R0001X | 36469 | MO | Primary |
Addresses
Primary practice location
1502 Dodson Ave
Fort Smith, AR 72901-5128
Mailing address
PO Box 11449
Belfast, ME 04915-4005
Phone (479) 709-1924
Other practice location 1
1325 Conference Dr
Toledo, OH 43614-8009
Phone (419) 383-4541
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189668001 | Medicaid | AR | |
| 0301409 | Medicaid | OH | |
| 200381370A | Medicaid | KS | |
| 200078430A | Medicaid | OK |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bcross20831@direct.monroeclinic.org | Direct | |
| FHIR URL | https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E7178 | AR | MD | Radiation Oncology Physician |
| 0431774 | KS | MD | Radiation Oncology Physician |
| 36469 | MO | MD | Radiation Oncology Physician |
| H4893 | TX | MD | Therapeutic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Cancer Institute Cancer Services | Radiation Oncology | Current | Accepting new patients |
| University of Pittsburgh Cancer Institute Cancer Services | Current | Accepting new patients | |
| Wichita Radiological Group Prof Assoc | Past | Accepting new patients | |
| Cancer Center of Kansas, P.a. | Past | Accepting new patients |
Locations
22681 Route 68
Clarion, PA 16214
Phone (814) 227-1221
2500 W 12th St
Erie, PA 16505
Phone (814) 838-9000
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UPMC Cancer Centers
- Radiation Oncology Physician
- Pittsburgh, PA
- NPI 1427025840
-
- Mobile Radiology Clinic/Center
- Natrona Heights, PA
- NPI 1912961350
-
- Hematology & Oncology Physician
- Wichita, KS
- NPI 1841251394
-
- Specialist
- Wichita, KS
- NPI 1144256447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1922090315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11449",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154005",
"telephone_number": "479-709-1924",
"fax_number": "479-709-7499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 DODSON AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729015128",
"telephone_number": "479-709-7190",
"fax_number": "479-709-7193"
}
],
"practiceLocations": [
{
"address_1": "1325 Conference Dr",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436148009",
"country_code": "US",
"telephone_number": "419-383-4541",
"fax_number": "419-383-3040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROSS",
"first_name": "BRUCE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "OH",
"license": "35.056720",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "AR",
"license": "E7178",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "KS",
"license": "0431774",
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "TX",
"license": "H4893",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MO",
"license": "36469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189668001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0301409",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200381370A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200078430A",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bcross20831@direct.monroeclinic.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "bcross20831@direct.monroeclinic.org",
"address_1": "515 22nd Ave",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661569",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "515 22nd Ave",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661569",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.