DR. BRUCE EDWARD PRESTON (NPI# 1972506533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972506533 |
| Entity Type | Individual |
| Full Name | DR. BRUCE EDWARD PRESTON |
| Credential | MD |
| Practice Address |
805 N Kentucky St West Plains MO 65775-2022 |
| Practice Telephone | 4172562111 |
| Practice Fax Number | 4172564858 |
| Mailing Telephone | 4172562111 |
| Mailing Fax Number | 4172564858 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2008-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R7937 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 599022307 | 05 | |
| MEDICARE RR | P00207380 | 01 | |
| MO | 599022308 | 05 | |
| MO | 200952109 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083768592 | Bruce A. Preston | Counselor | 9268 Se Clinton St, Portland, OR 97266-1456 | 2007-01-22 |
| 1124676895 | Bruce David Preston | Social Worker | 132 Holiday Court, Suite 209, Annapolis, MD 21401 | 2019-08-27 |
| 1164574893 | Bruce Alan Preston | Dentist | 4500 Hugh Howell Rd, Suite 310, Tucker, GA 30084-4723 | 2007-01-16 |
| Street Address |
805 N KENTUCKY ST |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548351224 | West Plains Surgical Associates, LLC | Specialist | 805 N Kentucky St, West Plains, MO 65775-2022 | 2006-09-27 |
| 1215028998 | Hubbard Bone & Joint Clinic LLC | Specialist | 805 N Kentucky St, West Plains, MO 65775-2022 | 2006-09-27 |
| 1841297181 | Robert Allen Martin | Family Medicine | 805 N Kentucky St, West Plains, MO 65775-2022 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457616872 | Mary K Pendergrass | Family Medicine | 181 N Kentucky Ave Ste 100, West Plains, MO 65775-2092 | 2012-07-11 |
| 1750469706 | Scott F Roush | Family Medicine | 1307 Porter Wagoner Blvd, West Plains, MO 65775-1828 | 2006-11-01 |
| 1013092139 | Young Moo Kang | Family Medicine | 214 Aid Avenue, West Plains, MO 65775-0725 | 2006-10-26 |
| 1639281116 | Arthur George Bentley | Family Medicine | 1108 Alaska St, West Plains, MO 65775-2002 | 2006-08-31 |
| 1003872771 | Midwest Family Medicine Clinic PC | Family Medicine | 1598 Imperial Ctr, Suite 2009, West Plains, MO 65775-1818 | 2006-04-21 |
| 1598732315 | James E Thompson Jr. | Family Medicine | 1402 N Kentucky Ave, West Plains, MO 65775-1822 | 2006-03-01 |
| 1891772786 | Donald Wayne Lamoureaux | Family Medicine | 1801 E State Route K, West Plains, MO 65775-6616 | 2005-12-30 |
| 1831195866 | Richard P Bowles Jr. | Family Medicine | 805 Kentucky, West Plains, MO 65775 | 2005-06-23 |
| 1003330713 | Burton Creek Rural Clinic, LLC | Family Medicine | 805 N Kentucky Ave, West Plains, MO 65775-2022 | 2017-08-03 |
| 1942653795 | Mirza Abdurrahman Mahmood | Family Medicine | 1100 N Kentucky Ave, West Plains, MO 65775 | 2016-07-18 |
| Find all providers in WEST PLAINS | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
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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.