Active NPI
Robert Bruce Jr., MD
- Orthopaedic Surgery Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 39058
- Practice address
- 1400 Tullie Rd NE FL 2
Atlanta, GA 30329-2309 - Phone
- (404) 255-1933
- Fax
- (404) 785-0934
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 39058 | GA | Primary |
Addresses
Primary practice location
1400 Tullie Rd NE FL 2
Atlanta, GA 30329-2309
Mailing address
1400 Tullie Rd NE FL 2
Atlanta, GA 30329-2309
Phone (404) 255-1933
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | choa@choa.gadirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040412000831 | GA | Practitioner - Orthopedic Surgery | 3173517398 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Vanderbilt University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 Tullie Rd NE
Suite 210
Atlanta, GA 30329-2309
Phone (404) 785-0122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39058 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Egleston Pediatric Group | Current | Accepting new patients | |
| Choa Hospital Based, LLC | Current | Accepting new patients | |
| The Emory Clinic Inc | Current | Accepting new patients | |
| Choa Multispecialty, LLC | Current | Accepting new patients | |
| Scottish Rite Childrens Medical Ctr | Past | Accepting new patients | |
| Scottish Rite Children'S Medical Center | Past | Accepting new patients | |
| Emory Health Care | Past | Accepting new patients | |
| Children'S Orthopaedics of Atlanta P.C. | Orthopaedic Surgery | Past | Accepting new patients |
Locations
1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112
1400 Tullie Rd NE
Ste 210
Atlanta, GA 30329
Phone (404) 785-0122
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
59 Executive Park South NE
Ste 2092
Atlanta, GA 30329
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008
Interoperability endpoints
- rbruce4771@choa.gadirect.net
Organizations & group practices 8
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.
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1437493467
-
- Pediatrics Physician
- Atlanta, GA
- NPI 1811041452
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1548247000
Orthopaedic Surgery
-
- Neurology Physician
- Atlanta, GA
- NPI 1376642751
-
- Pediatric Hematology & Oncology Physician
- Atlanta, GA
- NPI 1184779332
-
- Children's Hospital
- Atlanta, GA
- NPI 1922178789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1972605681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 TULLIE RD NE FL 2",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292309",
"telephone_number": "404-255-1933",
"fax_number": "404-785-0934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 TULLIE RD NE FL 2",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292309",
"telephone_number": "404-255-1933",
"fax_number": "404-785-0934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "ROBERT",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "39058",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "choa@choa.gadirect.net",
"affiliation": "N",
"address_1": "1400 Tullie Rd NE Fl 2",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303292309",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.