Active NPI
Bruce Bing Chien, MD
- Pain Medicine (Anesthesiology) Physician
- Peoria, IL
National Provider Identifier
1972509743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 036063979
- Practice address
- 5401 N Knoxville Ave
Ste 212
Peoria, IL 61614-5021 - Phone
- (309) 691-8973
- Fax
- (309) 691-8938
- NPI assigned
- Jun 24, 2005
- 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036063979 | IL | Primary |
Addresses
Primary practice location
5401 N Knoxville Ave
Ste 212
Peoria, IL 61614-5021
Mailing address
9198 N Picture Ridge Rd
Peoria, IL 61615-1745
Phone (309) 691-3452
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036063979 | IL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Anesthesiologists, S.C. | Pain Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1972509743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9198 N PICTURE RIDGE RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616151745",
"telephone_number": "309-691-3452",
"fax_number": "309-691-9258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 N KNOXVILLE AVE",
"address_2": "STE 212",
"city": "PEORIA",
"state": "IL",
"postal_code": "616145021",
"telephone_number": "309-691-8973",
"fax_number": "309-691-8938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIEN",
"first_name": "BRUCE",
"middle_name": "BING",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "036063979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
- Linda Marie Cherry, L.C.P.C.
- Sudha Cherukuri, MD
- Chestnut Health Systems Inc
- Yu-Ying Chiang, CRNA
- Chicago Hearing LLC
- Lisa Gail Childers, LCSW
- Children'S Home Association of Illinois
- Children'S Home Association of Illinois
- Children'S Home Association of Illinois
- Children'S Home Association of Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.