Active NPI
Bruce Hyde, M.D.
- Pediatrics Physician
- Wexford, PA
National Provider Identifier
1942262407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD-029518-E
- Practice address
- 12311 Perry Hwy Ste D
Wexford, PA 15090-8344 - Phone
- (878) 332-4920
- Fax
- (878) 332-4921
- NPI assigned
- Apr 3, 2006
- Last updated
- Oct 2, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD-029518-E | PA | Primary |
Addresses
Primary practice location
12311 Perry Hwy Ste D
Wexford, PA 15090-8344
Mailing address
9104 Babcock Blvd
Suite 2111
Pittsburgh, PA 15237-5818
Phone (412) 364-5834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001038165 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bhyde158772@direct.ahn.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-029518-E | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic Pediatrics | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- bhyde158772@direct.ahn.org
Organizations & group practices 1
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": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1942262407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9104 BABCOCK BLVD",
"address_2": "SUITE 2111",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152375818",
"telephone_number": "412-364-5834",
"fax_number": "412-369-9984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12311 PERRY HWY STE D",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150908344",
"telephone_number": "878-332-4920",
"fax_number": "878-332-4921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD-029518-E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001038165",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bhyde158772@direct.ahn.org",
"affiliation": "N",
"address_1": "12311 Perry Hwy Ste D",
"city": "Wexford",
"state": "PA",
"country_code": "US",
"postal_code": "150908344",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.