BRUCE LEE (NPI# 1205399391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205399391 |
| Entity Type | Individual |
| Full Name | BRUCE LEE |
| Credential | MD |
| Practice Address |
1425 Portland Ave Rochester NY 14621-3001 |
| Practice Telephone | 5859225913 |
| Enumeration Date | 2019-04-07 |
| Last Update Date | 2019-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033687272 | Bruce Sangho Lee | Durable Medical Equipment & Medical Supplies | 534 Cardinal St, Brea, CA 92823-1005 | 2018-11-06 |
| 1316069867 | Bruce Lee | Chiropractor | 3911 N 10th St, Suite G, Mcallen, TX 78501-2036 | 2007-04-04 |
| 1104998665 | Bruce B Lee | Chiropractor | 2225a E. 7th Avenue, Flagstaff, AZ 86004-3737 | 2006-11-13 |
| 1528145166 | Bruce D Lee | Chiropractor | 3200 W 72nd Ave, Westminster, CO 80030-5477 | 2006-11-01 |
| 1568563807 | Bruce H Lee | Dentist | 181 S Gulling St, Portola, CA 96122-9609 | 2006-09-26 |
| 1982681011 | Bruce W Lee | Dentist | 20250 E Smoky Hill Rd Unit 5, Suite 202, Centennial, CO 80015-3118 | 2005-12-29 |
| 1639674948 | Bruce Forbes Lee | Social Worker | 5255 Loughboro Rd Nw, Washington, DC 20016-2633 | 2018-03-28 |
| 1134518210 | Bruce Lee | Substance Abuse Rehabilitation Facility | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2015-01-13 |
| 1851631899 | Bruce Lee | Physical Therapist | 1920 Maple Ave, Lisle, IL 60532-2179 | 2013-02-28 |
| 1629148994 | Bruce Bernard Lee | Obstetrics & Gynecology | 966 Cass St, Suite 200, Monterey, CA 93940 | 2006-11-08 |
| Street Address |
1425 PORTLAND AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14621-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697605 | Joseph David Silverberg | Ophthalmology | 1425 Portland Ave, Rochester, NY 14621-3001 | 2005-05-24 |
| 1598372443 | Chengu Niu | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-09-24 |
| 1194339085 | Latanya Denise Brown | Licensed Practical Nurse | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-09-08 |
| 1487267134 | Roberto M Voica | Pharmacist | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-08-24 |
| 1538770102 | Utsav Joshi | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-08-16 |
| 1952911687 | Ido Goldenberg | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-08-06 |
| 1669081378 | Carlos Alejandro Portales Castillo | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-07-28 |
| 1427667617 | Varun Bhalla | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-07-23 |
| 1871101550 | Tamer Salhab Altamimi | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-07-17 |
| 1508474628 | Hafsa Faisal | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515327 | Patti Humphrey | Occupational Therapist | 1831 Ridge Rd. East, Rochester, NY 14621 | 2019-12-12 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1811478357 | Laura Iannella | Student in an Organized Health Care Education/Training Program | 1455 East Ridge, Rochester, NY 14621 | 2018-08-23 |
| 1982180345 | Naman Sharma | Student in an Organized Health Care Education/Training Program | Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621 | 2018-07-18 |
| 1699213447 | Kara Mcallister | Nurse Practitioner | 370 East Ridge Road, Suite 400, Rochester, NY 14621 | 2017-02-01 |
| 1285082982 | Universal Care Services, LLC | In Home Supportive Care | 64 Delamaine Drive, Rochester, NY 14621 | 2016-06-03 |
| 1700243896 | Kenroy King I | Registered Nurse | 67 Warsaw Street, Rochester, NY 14621 | 2016-01-21 |
| 1154794808 | Shari Venisee | Licensed Practical Nurse | 67 Carthage St, Rochester, NY 14621 | 2015-11-03 |
| 1114349024 | Anthony Michael Plavsity | Registered Nurse | 1450 Clifford Ave, Rochester, NY 14621 | 2014-01-11 |
| 1033541107 | The Community Place of Greater Rochester, Inc | Case Management | 500 Carter Street, Rochester, NY 14621 | 2013-07-31 |
| Find all providers in zip 14621 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130421 | Carolyne Copley | Student in an Organized Health Care Education/Training Program | 226 2nd St Sw, Rochester, MN 55905-0001 | 2020-09-29 |
| 1497362925 | Alexandra Michelle Hasiotis | Student in an Organized Health Care Education/Training Program | 36 Copperfield Rd, Rochester, NY 14615-1102 | 2020-09-29 |
| 1750905873 | Anna C Lin | Student in an Organized Health Care Education/Training Program | 419 7th Ave Sw, Rochester, MN 55902-3216 | 2020-06-04 |
| 1558985101 | Erin Marissa Hannigan | Student in an Organized Health Care Education/Training Program | 4802 8th St Sw, Rochester, MN 55902-8711 | 2020-05-29 |
| 1710501408 | Anna Dowling | Student in an Organized Health Care Education/Training Program | 609 E 2650 North Rd, Rochester, IL 62563-8108 | 2020-05-29 |
| 1689296386 | Bryan Liming Jan | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 632, Rochester, NY 14642-0001 | 2020-05-15 |
| 1780206474 | Robert Tainsh | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box 604, Rochester, NY 14642-0001 | 2020-05-15 |
| 1578185302 | Shaahin Dadjoo | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave Ofc 683, Rochester, NY 14620-2913 | 2020-05-14 |
| 1578185534 | Starling Tolliver | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # Ac-5696, Rochester, NY 14642-0001 | 2020-05-13 |
| 1548882707 | Christian A Archer | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box Hh 37, Rochester, NY 14642-0001 | 2020-05-11 |
| Find all providers in ROCHESTER | ||||
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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.