DR. BRUCE PERRY (NPI# 1396742045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396742045 |
| Entity Type | Individual |
| Full Name | DR. BRUCE PERRY |
| Credential | M.D. |
| Practice Address |
1619 Nw Hawthorne Ave Ste 210 Grants Pass OR 97526-6009 |
| Practice Telephone | 5414716033 |
| Practice Fax Number | 5414717125 |
| Mailing Telephone | 5414716033 |
| Mailing Fax Number | 5414746874 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD16305 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 096396 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801884879 | Bruce Allen Perry | Optometrist | 124 16th St Ne, Fayette, AL 35555-1340 | 2005-10-12 |
| 1821000837 | Bruce C Perry | Family Medicine | 3495 Piedmont Rd Ne, I Medical Offices Administration, Atlanta, GA 30305-1773 | 2006-08-12 |
| Street Address |
1619 NW HAWTHORNE AVE STE 210 |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-6009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851788400 | Amanda Kamery | Podiatrist | 1619 Nw Hawthorne Ave, Grants Pass, OR 97526-6008 | 2015-04-22 |
| 1255753380 | Providence Health & Services - Oregon | Physical Medicine & Rehabilitation | 1619 Nw Hawthorne Ave, Suite 206, Grants Pass, OR 97526-6008 | 2014-01-08 |
| 1548495757 | Arete Nw, LLC | Clinic/Center | 1619 Nw Hawthorne Ave, Suite 204, Grants Pass, OR 97526-6008 | 2009-05-18 |
| 1003095845 | Andrea Bishop Navarre | Physician Assistant | 1619 Nw Hawthorne Ave, Suite 101, Grants Pass, OR 97526-6008 | 2007-10-29 |
| 1326237769 | Action Rehabilitation & Sports Medicine, P.C. | Physical Therapist | 1619 Nw Hawthorne Ave, Suite 109, Grants Pass, OR 97526-6008 | 2007-10-22 |
| 1982616025 | Sorweide Family Medicine PC | Family Medicine | 1619 Nw Hawthorne Ave, Suite 101, Grants Pass, OR 97526-6008 | 2006-08-13 |
| 1104838093 | Hand and Arm Surgery of Southern Oregon, PC | Specialist | 1619 Nw Hawthorne Ave, Suite 106, Grants Pass, OR 97526-6008 | 2006-08-12 |
| 1639155344 | Rebecca L Harrold | Occupational Therapist | 1619 Nw Hawthorne Ave, Suite 109, Grants Pass, OR 97526-6008 | 2005-12-15 |
| 1093715922 | Heather Voss | Nurse Practitioner | 1619 Nw Hawthorne Ave, Grants Pass, OR 97526-6008 | 2005-07-21 |
| 1346240272 | Christine Meis | Podiatrist | 1619 Nw Hawthorne Ave, Suite 110, Grants Pass, OR 97526-6008 | 2005-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104913433 | Bruce E Perry Md | Orthopaedic Surgery | 1619 Nw Hawthorne Ave Ste 102, Grants Pass, OR 97526-6008 | 2006-10-06 |
| 1770580904 | Warren Kendall | Orthopaedic Surgery | 739 Soldier Creek Rd, Grants Pass, OR 97526-8861 | 2005-07-01 |
| 1669934733 | Oor Care of Or, LLC | Orthopaedic Surgery | 1867 Williams Hwy Ste 288, Grants Pass, OR 97527-5856 | 2019-04-05 |
| 1811341928 | App Orthopedic Clinic | Orthopaedic Surgery | 537 Union Ave, Second Floor 2a, Grants Pass, OR 97527-5543 | 2016-04-15 |
| 1093976045 | Daniel C Wieking | Orthopaedic Surgery | 537 Union Ave, Second Floor, 2a, Grants Pass, OR 97527-5543 | 2008-06-23 |
| 1417120445 | Kiley E Ziegler | Orthopaedic Surgery | 625 Sw Ramsey Ave, Suite A, Grants Pass, OR 97527-5805 | 2008-04-10 |
| 1386838753 | Asante Community Services LLC | Orthopaedic Surgery | 1505 Nw Washington Blvd, Grants Pass, OR 97526-1049 | 2007-08-29 |
| 1083819908 | Matthew T Nugent | Orthopaedic Surgery | 537 Union Ave, Second Floor, 2a, Grants Pass, OR 97527-5543 | 2007-06-20 |
| 1568465805 | Paragon Orthopedic Center, PC | Orthopaedic Surgery | 702 Ramsey Ave, Ste 112, Grants Pass, OR 97527-5573 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110338 | Praxis Medical Group Inc | Orthopaedic Surgery | 354 W. Adams Avenue, Sisters, OR 97759 | 2020-07-01 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1598252272 | Venel Orthopaedic Institute At Lake Andrew | Orthopaedic Surgery | 10000 Se Main St Ste 205, Portland, OR 97216-2448 | 2018-04-18 |
| 1881108918 | Vvrx Pharmacy Billing Solutions LLC | Orthopaedic Surgery | 7427 Sw Coho Ct Ste 200, Tualatin, OR 97062-8618 | 2017-11-28 |
| 1427404672 | Jay Shelton Cox | Orthopaedic Surgery | 80 Raven Lane, Depoe Bay, OR 97341-0185 | 2016-05-06 |
| 1710382296 | Michael Baskin Md LLC | Orthopaedic Surgery | 4166 Sw Greenleaf Dr, Portland, OR 97221-3225 | 2014-10-27 |
| 1568864171 | Thomas P Mcweeney Md PC | Orthopaedic Surgery | 19255 Sw 65th Ave Ste 110, Tualatin, OR 97062-9717 | 2014-09-25 |
| 1083030266 | Ryan Thomas Colley | Orthopaedic Surgery | 707 Murphy Rd, Medford, OR 97504-8520 | 2014-03-11 |
| 1730505488 | David William Waldram | Orthopaedic Surgery | 15200 Sw Aquatic View, Powell Butte, OR 97753 | 2014-03-05 |
| 1346582525 | Derek Beeson Smith | Orthopaedic Surgery | 1140 Sw Simpson Ave Ste 100, Bend, OR 97702 | 2013-03-26 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
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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.