Bruce Wallace Ayres, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD00043560 Issued in WA

Practice address

705 Gage Blvd
Suite 100
Richland, WA 99352-9716

Phone

(509) 374-4400

Fax

(509) 374-4440

NPI assigned

Aug 1, 2006

Last updated

Oct 6, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• RCCH Trios Health LLC

  • Internal Medicine Physician
  • Kennewick, WA
  • NPI 1831682806
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1962419473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 GAGE BLVD",
            "address_2": "SUITE 100",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529716",
            "telephone_number": "509-374-4400",
            "fax_number": "509-374-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GAGE BLVD",
            "address_2": "SUITE 100",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529716",
            "telephone_number": "509-374-4400",
            "fax_number": "509-374-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYRES",
        "first_name": "BRUCE",
        "middle_name": "WALLACE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00043560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1120526",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Rose Austin, ARNP
• Mario Ayala Salcedo, PHARMD
• Kyawt Kyawt Ayee, MD
• Hailey Marie Ayers, OT
• Tiffany Janae Ayers
• B, M. Almond Orthodontics
• Alexandria Baasch, OTR/L
• David Franklin Bachman, PSYD
• Ethan Allen Bachrach, MD
• Badger Mountain Dental, LLC

• Surgery Physician in Richland, WA
• Providers in Richland, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.

Verify at the official NPI Registry.