NPIMap

Individual provider Active NPI

Bruce W Lee, D.O.

  • Family Medicine Physician
  • Chanute, KS
National Provider Identifier
1952391740
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-23912 Issued in KS
Practice address
505 S Plummer Ave
Chanute, KS 66720-1950
Phone
(620) 431-2500
Fax
(620) 431-1876
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05-23912 KS Primary

Addresses

Primary practice location

505 S Plummer Ave
Chanute, KS 66720-1950

Mailing address

505 S Plummer Ave
Chanute, KS 66720-1950
Phone (620) 431-2500

Other practice location 1

629 S Plummer Ave
Chanute, KS 66720-1928
Phone (620) 431-4000

Other identifiers 2

IdentifierTypeStateIssuer
100232920AMedicaidKS
080047399OtherKSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20040204000667 KS Practitioner - Family Practice 3870496037 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neosho Memorial Regional Medical CenterGroup PAC ID 9133022882, shared by 7 NPIs, 26 clinicians

Practice addresses (Care Compare)

629 S Plummer Ave
Chanute, KS 66720-1928
Phone (620) 433-3838

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Chanute, KS, CCN 178060
  • Nmrmc Home Health Agency Home health agency, Chanute, KS, CCN 177060
  • Horizon Hospice Hospice, Chanute, KS, CCN 171525
  • Gentiva Hospice, Parsons, KS, CCN 171556
  • Neosho Memorial Regional Medical Center Hospital, Chanute, KS, CCN 171380
  • Fredonia Regional Hospital Hospital, Fredonia, KS, CCN 171374
  • Labette Health Hospital, Parsons, KS, CCN 170120
  • Diversicare of Chanute Nursing home, Chanute, KS, CCN 175214
  • Heritage Health Care Center Nursing home, Chanute, KS, CCN 175249
  • Neosho Memorial Regional Medical Center Nursing home, CCN 17Z380

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions29
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-23912KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley Clinic, LLC Current Accepting new patients
Neosho Memorial Regional Medical Center CurrentSince Jul 1, 1993 Accepting new patients
Nmrmc Urology Clinic CurrentSince Jul 1, 1993 Accepting new patients
Ashley Clinic LLC CurrentSince Aug 2, 1993 Accepting new patients
Ashley Clinic, LLC Family Medicine CurrentSince Aug 2, 1993 Accepting new patients
Southeast Kansas Mental Health Center Family Medicine CurrentSince Feb 27, 2024 Accepting new patients
Neosho Memorial Regional Medical Center Current Accepting new patients
Neosho Memorial Regional Medical Center Current Accepting new patients
Southeast Kansas Mental Health Center Current Accepting new patients
Pawnee Mental Health Service, Inc. Past Accepting new patients
Diversicare of Chanute LLC Past Accepting new patients

Locations

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

505 S Plummer Ave
Chanute, KS 66720

1106 S 9th St
Humboldt, KS 66748
Phone (620) 473-2241

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a9daee2a-e42f-4702-9c42-486fbda403f6/
  • FHIR API: https://api.platform.athenahealth.com/24081/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Diversicare of ChanuteChanute, KS, CCN 175214 Skilled nursing facility Contracted Managing Employee
Adp of the SNF		 Jun 24, 2016
Nov 25, 2024
Horizon HospiceChanute, KS, CCN 171525 Hospice W-2 Managing Employee Jan 1, 2024

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1952391740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S PLUMMER AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201950",
            "telephone_number": "620-431-2500",
            "fax_number": "620-431-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S PLUMMER AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201950",
            "telephone_number": "620-431-2500",
            "fax_number": "620-431-1876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "629 S Plummer Ave",
            "address_purpose": "LOCATION",
            "city": "Chanute",
            "state": "KS",
            "postal_code": "667201928",
            "country_code": "US",
            "telephone_number": "620-431-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRUCE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-23912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100232920A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080047399",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanute, KS

Sources for this page

Verify at the official NPI Registry.