Bruce Howard Kittrick, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

G66403 Issued in CA

Practice address

Shasta Regional Medical Center
1000 Butte St
Redding, CA 96001

Phone

(530) 244-5400

Fax

(530) 243-5965

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bruce.kittrick.p3@direct.smmg.nextgenshare.com
• FHIR API: https://fhir4.healow.com/fhir/r4/ABEFCA

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.

• Shasta Regional Medical Group Inc

  • Hospitalist Physician
  • Redding, CA
  • NPI 1396990545
  Medicare reassignment NPD
• Orna Gil MD Inc

  • Obstetrics & Gynecology Physician
  • Redding, CA
  • NPI 1588134423
  NPD
• Shasta Regional Medical Group, Inc

  • Family Medicine Physician
  • Weed, CA
  • NPI 1588048680
  NPD
• Shasta Medical Associates Inc.

  • Preferred Provider Organization
  • Redding, CA
  • NPI 1972511095
  NPD (past)
• Shasta Regional Medical Center, LLC

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1033187182
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1972511012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 993456",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96099",
            "telephone_number": "530-244-3155",
            "fax_number": "530-243-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SHASTA REGIONAL MEDICAL CENTER",
            "address_2": "1000 BUTTE ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-244-5400",
            "fax_number": "530-243-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTRICK",
        "first_name": "BRUCE",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G66403",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "G66403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G664030",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "110158746",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Kirschman, P.T.
• Teresa Ellen Kisanuki
• Heather Michelle Kiser
• Starla Sarah Kissinger, MSW, ASW
• Ann Elaine Kite, LCSW
• Michelle Klaassen, LMFT
• Beverly Garner Klaiber, LMFT
• Debra Anne Klein, MFT
• Samantha Jo Klein, ASW
• Rayna G. Kline, P.T.

• Hospitalist Physician in Redding, CA
• Providers in Redding, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.