NPIMap

Individual provider Active NPI

Bruce S Solomon, D.O.

  • Neurology Physician
  • Gainesville, FL
National Provider Identifier
1932165446
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS16308 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-1749
Phone
(352) 273-5550
NPI assigned
Apr 24, 2006
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 9400643 NC
Neurology Physician 2084N0400X OS16308 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-1749

Mailing address

PO Box 100236
Gainesville, FL 32610-0236
Phone (352) 273-5550

Other identifiers 5

IdentifierTypeStateIssuer
78450OtherNCBCBS NC
Q00643OtherSCSC MEDICAID
105070700MedicaidFL
130009346OtherNCRAILROAD MEDICARE
8978450MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200116001477 FL Practitioner - Neurology 9133160013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 SW Archer
Gainesville, FL 32610-3003

1600 SW Archer Rd
Gainesville, FL 32610-3003

1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535

2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

3009 SW Williston Rd
Uf Health Digestive Disease Specialists Wil
Gainesville, FL 32608-3928
Phone (352) 273-9400

Uf Health Test Site Pop Up 1600 SW Ar
Gainesville, FL 32610-3003
Phone (352) 392-1161

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS16308FLMDNeurology Physician
9400643NCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Feb 7, 2020 Accepting new patients
MCPC-22, LLC Neurology CurrentSince Oct 21, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Feb 7, 2020 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic PastSince Mar 29, 2013 Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1600 SW Archer Rd
#100371
Gainesville, FL 32610
Phone (352) 265-8335

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

10 Page Dr
Pinehurst, NC 28374
Phone (910) 295-6868

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: brucesamuelsolomon@pn.allscriptsdirect.net
  • Direct secure messaging: bsolomon445052@direct.shands.ufl.edu

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Firsthealth Montgomery Memorial HospitalTroy, NC, CCN 341303 Hospital Corporate Director
Operational/Managerial Control		 Sep 18, 2012
Sep 18, 2012
Firsthealth Moore Regional HospitalPinehurst, NC, CCN 340115 Hospital Corporate Director
Operational/Managerial Control		 Mar 29, 2013
Mar 29, 2013
Moore Regional Hospital Professional ServicesPinehurst, NC, CCN 34S115 Hospital Corporate Director
Operational/Managerial Control		 Oct 31, 2011
Oct 31, 2011
Firsthealth Moore Regional Hospital RehabPinehurst, NC, CCN 34T115 Hospital Corporate Director
Operational/Managerial Control		 Nov 17, 2011
Nov 17, 2011
Firsthealth Montgomery Memorial HospitalTroy, NC, CCN 34Z303 Skilled nursing facility Corporate Director
Operational/Managerial Control		 Nov 14, 2011
Nov 14, 2011
First Health Home CareWest End, NC, CCN 347230 Home health agency Corporate Director
Operational/Managerial Control		 Feb 6, 2012
Feb 6, 2012
First Health Home Care - RichmondRockingham, NC, CCN 347041 Home health agency Corporate Director Feb 6, 2012
Firsthealth Montgomery Memorial HospitalTroy, NC, CCN 343431 Rural health clinic Corporate Director Sep 1, 2008

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1932165446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100236",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100236",
            "telephone_number": "352-273-5550",
            "fax_number": "352-273-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326101749",
            "telephone_number": "352-273-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "BRUCE",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "9400643",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS16308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "78450",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID",
            "identifier": "Q00643",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105070700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130009346",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8978450",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.