BRUCE A ANDERSEN


Address: 109 Railroad Ave, Las Vegas, NM 87701
Phone: 5054259491

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 163 NM Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PRESBYTERIAN HP 10478 01
BCBS 005351 01

Other Providers BRUCE ANDERSEN

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

Office Location

Street Address 109 RAILROAD AVE
City LAS VEGAS
State NM
Zip Code 87701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184632929 Las Vegas Foot Specialist, Inc Podiatrist 109 Railroad Ave, Las Vegas, NM 87701-3853 2006-08-04

Providers in the same zip code

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 Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City LAS VEGAS
Zip Code 87701

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Dataset Information

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.

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