| Bruce Conrad Puryear, MD | |
|
1850 N Central Ave, Suite1600, Phoenix, AZ 85004-4633 | |
| (602) 744-4765 | |
| (602) 744-4799 |
| Full Name | Bruce Conrad Puryear |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 34 Years |
| Location | 1850 N Central Ave, Phoenix, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821068016 | NPI | - | NPPES |
| P00286379 | Other | MEDICARE RAILROAD | |
| 620832 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 29325 (Arizona) | Secondary |
| 207L00000X | Anesthesiology | DR.0037671 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uch-memorial Health System | Colorado springs, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parkview Ancillary Services Corporation | 4385722511 | 273 |
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| Entity Name | Parkview Ancillary Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Conrad Puryear, MD 1850 N Central Ave, Suite1600, Phoenix, AZ 85004-4633 Ph: (602) 744-4765 | Bruce Conrad Puryear, MD 1850 N Central Ave, Suite1600, Phoenix, AZ 85004-4633 Ph: (602) 744-4765 |
Dr. Ahmar Husain, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-4660 | |
Gerald D. Peiser, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4441 E Mcdowell Rd, # 101, Phoenix, AZ 85008 Phone: 602-273-6770 Fax: 602-889-0489 | |
Asha Thakur, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1715 W Northern Ave, Suite 108, Phoenix, AZ 85021 Phone: 602-395-0718 Fax: 602-277-8146 | |
Joshua Aaron Bloomstone, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8890 | |
Jeffrey Parker Morray, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2901 North Central Ave, Ste 500, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8919 | |
Dr. Eric L Pedicini, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1850 N Central Ave, Suite1600, Phoenix, AZ 85004 Phone: 602-262-8900 Fax: 602-262-8890 | |
Laura Kareen Griffin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-4660 Fax: 602-933-8945 |