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Deactivated NPI 1477990935 Deactivated / Inactive NPI Male Practitioner

Ld Bruce

Case Manager/Care Coordinator • Vinita, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ld Bruce has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 23, 2013
NPI Deactivation Date March 28, 2018
Total Practice Duration ~5 Years of Practice (2013 – 2018)

Professional Overview & Biography Verified Profile Summary

Ld Bruce was a registered Case Manager/Care Coordinator practicing in Vinita, OK. Throughout an active medical career spanning 5 years, Ld Bruce provided care at the practice location at 35010 S 4465 RD until profile deactivation on 2018-03-28.

Practice Location & Contact Primary Location

Practice Address

35010 S 4465 Rd

Vinita, OK 743016672

Telephone 9182440009
Fax 9187824766
Associated Practice Facility / Clinic
🏢 Orchard Grove Rcf Facility NPI 1316142722

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Vinita, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.6 Yrs
Regional Practice Density
92 Specialists

Practicing in Vinita, OK (8984 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

State License OK A00206

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Cheryl Brown

Case Manager/Care Coordinator

NPI 1801170600

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 28, 2018

Record deactivated on March 28, 2018

NPI Profile Active May 23, 2013

NPI status registered as active in NPPES database

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Updated Practice Location May 23, 2013

Registered at 35010 S 4465 RD, VINITA, OK 743016672 (Tel: 9182440009)

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Updated Business Mailing Address May 23, 2013

Registered at 35010 S 4465 RD, VINITA, OK 743016672 (Tel: 9182440009)

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Provider Name / Credentials Updated May 23, 2013

Recorded as LD BRUCE

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2013

Case Manager/Care Coordinator (License #A00206 in OK)

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Initial NPI Registration & Enumeration May 23, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477990935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2013
Last Update: May 23, 2013
Deactivation Date: March 28, 2018

Mailing Address

35010 S 4465 Rd

Vinita, OK 743016672

Phone: 9182440009

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.