Active NPI
Bruce Alan Gursky, D.D.S.
- Dentist
- Bloomfield Hills, MI
National Provider Identifier
1962635409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- SPCV105219
- Practice address
- 1952 Bayou Dr
Bloomfield Hills, MI 48302-1207 - Phone
- (248) 752-3034
- Fax
- (248) 322-4311
- NPI assigned
- Sep 1, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | SPCV105219 | MI | Primary |
Addresses
Primary practice location
1952 Bayou Dr
Bloomfield Hills, MI 48302-1207
Mailing address
7581 Playa Rienta Way
Delray Beach, FL 33446-4349
Phone (248) 752-3034
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SPCV105219 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1962635409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7581 PLAYA RIENTA WAY",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334464349",
"telephone_number": "248-752-3034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1952 BAYOU DR",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483021207",
"telephone_number": "248-752-3034",
"fax_number": "248-322-4311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURSKY",
"first_name": "BRUCE",
"middle_name": "ALAN",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-01",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "SPCV105219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.