Individual provider Active NPI

Bruce Martin Dixon, DO

  • Pain Medicine (Anesthesiology) Physician
  • Ocoee, FL
National Provider Identifier
1932618162
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
OS15783 Issued in FL
Practice address
10000 W Colonial Dr Ste 284
Ocoee, FL 34761-3432
Phone
(321) 841-1570
Fax
(321) 841-1569
NPI assigned
Sep 19, 2017
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X OS15783 FL Primary
Interventional Pain Medicine Physician 208VP0014X OS15783 FL

Addresses

Primary practice location

10000 W Colonial Dr Ste 284
Ocoee, FL 34761-3432

Mailing address

10000 W Colonial Dr Ste 284
Ocoee, FL 34761-3432
Phone (321) 841-1570

Other practice location 1

89 W Copeland Dr Fl 2
Orlando, FL 32806-2002
Phone (321) 841-1570

Other identifiers 1

IdentifierTypeStateIssuer
118423300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220607002113 FL Practitioner - Interventional Pain Management 6901203991 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Alabama College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

10000 W Colonial Dr
Suite 284
Ocoee, FL 34761-3432
Phone (321) 841-1570

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS15783FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2023 Accepting new patients
Anesthesiologists of Greater Orlando Inc Single Specialty Current Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Sheridan Healthcorp Inc Single Specialty Current Accepting new patients
Anesthesiologists of Greater Orlando Inc CurrentSince Jul 1, 2023 Accepting new patients
Orlando Health Medical Group Inc Single Specialty CurrentSince Aug 1, 2023 Accepting new patients
Anesthesiologists of Greater Orlando Inc CurrentSince Jul 1, 2023 Accepting new patients

Locations

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

10000 W Colonial Dr
Ste 284
Ocoee, FL 34761
Phone (321) 841-1570

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

89 W Copeland Dr
Fl 2
Orlando, FL 32806
Phone (321) 841-3303

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

1245 Orange Ave
Ste 120
Winter Park, FL 32789
Phone 4074780007509

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

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 6

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": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1932618162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 284",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613432",
            "telephone_number": "321-841-1570",
            "fax_number": "321-841-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 284",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613432",
            "telephone_number": "321-841-1570",
            "fax_number": "321-841-1569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 W Copeland Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328062002",
            "country_code": "US",
            "telephone_number": "321-841-1570",
            "fax_number": "321-841-1569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "BRUCE",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-19",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "OS15783",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "OS15783",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118423300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.