Individual provider Active NPI

Bruce James Holtzman, D.P.M.

  • Podiatrist
  • Miami, FL
National Provider Identifier
1992708341
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO1127 Issued in FL
Practice address
7060 SW 8TH St
Miami, FL 33144-4650
Phone
(561) 336-4369
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901000830 MI
Podiatrist 213E00000X PO1127 FL Primary

Addresses

Primary practice location

7060 SW 8TH St
Miami, FL 33144-4650

Mailing address

6630 Conch CT
Boynton Beach, FL 33437-3651
Phone (561) 336-4369

Other identifiers 1

IdentifierTypeStateIssuer
029662700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO1127FLMDPodiatrist
5901000830MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce J Holtzman D P M P C Podiatrist CurrentSince Jul 30, 1977 Accepting new patients
Integrated-1 Corp Past Accepting new patients
Mason Hershorin MSN Arnp Inc. Past Accepting new patients

Locations

5162 Linton Blvd
Ste 206
Delray Beach, FL 33484
Phone (561) 499-2700

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

553600 US Highway 1
Hilliard, FL 32046
Phone (904) 845-2362

480 E Church Ave
Longwood, FL 32750
Phone (407) 767-0500

7060 SW 8th St
Miami, FL 33144
Phone (305) 261-1363

7060 SW 8th St
#J
Miami, FL 33144
Phone (305) 261-1363

Organizations & group practices 3

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1992708341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 CONCH CT",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373651",
            "telephone_number": "561-336-4369",
            "fax_number": "561-336-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7060 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444650",
            "telephone_number": "561-336-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZMAN",
        "first_name": "BRUCE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901000830",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029662700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.