BRUCE A ANDERSEN (NPI# 1609960699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609960699 |
Entity Type | Individual |
Full Name | BRUCE A ANDERSEN |
Credential | DPM |
Practice Address |
109 Railroad Ave Las Vegas NM 87701 |
Practice Telephone | 5054259491 |
Practice Fax Number | 5054548171 |
Mailing Telephone | 5054259491 |
Mailing Fax Number | 5054548171 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2008-05-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 163 | NM | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PRESBYTERIAN HP | 10478 | 01 | |
BCBS | 005351 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043307697 | Bruce F Andersen | Social Worker | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2006-10-06 |
1063420792 | Bruce J Andersen | Neurological Surgery | 1072 N Liberty St, Suite 303, Boise, ID 83704-2800 | 2006-08-05 |
1972538791 | Bruce A Andersen | Physical Therapist | 420 B St, Yuba City, CA 95991-5070 | 2006-07-11 |
Street Address |
109 RAILROAD AVE |
City | LAS VEGAS |
State | NM |
Zip Code | 87701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184632929 | Las Vegas Foot Specialist, Inc | Podiatrist | 109 Railroad Ave, Las Vegas, NM 87701-3853 | 2006-08-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851884423 | Nueva Vida Counseling and Consulting Services LLC | Community/Behavioral Health | Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 | 2018-06-08 |
1316475403 | El Centro Family Health | Family Medicine | 475 Legion Dr., Las Vegas, NM 87701 | 2017-06-01 |
1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
1013369222 | Home Medical Equipment Specialists,llc | Durable Medical Equipment & Medical Supplies | 514 8th Street, Las Vegas, NM 87701 | 2016-07-12 |
1750730826 | John Michael Tourangeau | Social Worker | 1920 7th Street, Las Vegas, NM 87701 | 2016-06-08 |
1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
1023409521 | Ambercare Medical Supply | Durable Medical Equipment & Medical Supplies | 1747 N Grand Ave, Las Vegas, NM 87701 | 2015-02-05 |
1538561964 | El Centro Family Health | Clinic/Center | 947 Old National Road, Las Vegas, NM 87701 | 2014-09-17 |
1164832150 | Plaza Drugs | Pharmacist | 178 Bridge St, Las Vegas, NM 87701 | 2014-04-30 |
1043648165 | Open Doors Home Health Care | Home Health | 713 Railroad Ave., Las Vegas, NM 87701 | 2013-10-29 |
Find all providers in zip 87701 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346799640 | Heller Podiatry LLC | Podiatrist | 9628 Gray Cap St, Las Vegas, NV 89123-5826 | 2016-09-27 |
1881077451 | Desert Shores LLC | Podiatrist | 2235 N Rampart Blvd, Las Vegas, NV 89128-7640 | 2015-07-01 |
1770997405 | Priya Samant | Podiatrist | 7135 W Sahara Ave Ste 201, Las Vegas, NV 89117 | 2014-06-20 |
1508152075 | Hope C Markowitz | Podiatrist | 8021 Ryans Reef Ln, Las Vegas, NV 89128-6886 | 2011-06-23 |
1710129549 | Mountain Podiatry | Podiatrist | 653 N Town Center Dr Ste 118, Las Vegas, NV 89144-0515 | 2009-03-25 |
1114182904 | Ernest Louk | Podiatrist | 7601 Rockfield Dr, Las Vegas, NV 89128-7929 | 2008-07-22 |
1982883294 | Sole To Soul Podiatry LLC | Podiatrist | 3815 S Jones Blvd Ste 6, Las Vegas, NV 89103 | 2007-11-02 |
1356481501 | Anthony M. Ricciardi Jr. Ltd Inc. | Podiatrist | 7135 W. Sahara Ave., Suite 201, Las Vegas, NV 89117-2828 | 2007-02-07 |
1801962121 | Jason W Rockwood | Podiatrist | 105 Mills Ave Ste 100, Las Vegas, NM 87701-4169 | 2006-11-28 |
1275619603 | Charles Cody Cull | Podiatrist | 1717 Navajo Lake Way, Las Vegas, NV 89128-3283 | 2006-10-27 |
Find all providers in LAS VEGAS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.