Active NPI
Bruce Edward Leininger, PH.D.
- Clinical Neuropsychologist
- Casper, WY
National Provider Identifier
1982702882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 258
- Practice address
- 111 West Second Street
Suite 310
Casper, WY 82601 - Phone
- (307) 473-7925
- Fax
- (307) 473-7925
- NPI assigned
- Sep 21, 2006
- Last updated
- Oct 2, 2008
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 258 | WY | Primary |
Addresses
Primary practice location
111 West Second Street
Suite 310
Casper, WY 82601
Mailing address
111 West Second Street
Suite 310
Casper, WY 82601
Phone (307) 473-7925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110079302 | Medicaid | WY |
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258 | WY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222905600000",
"number": "1982702882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WEST SECOND STREET",
"address_2": "SUITE 310",
"city": "CASPER",
"state": "WY",
"postal_code": "82601",
"telephone_number": "307-473-7925",
"fax_number": "307-473-7925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WEST SECOND STREET",
"address_2": "SUITE 310",
"city": "CASPER",
"state": "WY",
"postal_code": "82601",
"telephone_number": "307-473-7925",
"fax_number": "307-473-7925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEININGER",
"first_name": "BRUCE",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2008-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "WY",
"license": "258",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110079302",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.