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MR. BRUCE DONALD LEWIS JR. PA-C
NPI 1205995578
Physician Assistant - Medical in Owings Mills, MD

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment
10210 REISTERSTOWN RD, OWINGS MILLS, MD 21117(410) 902-6776 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Bruce Donald Lewis Jr. Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRUCE DONALD LEWIS JR. PA-C (NPI 1205995578) is an individual medical provider in Owings Mills, Maryland, licensed in Maryland (C0002016) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Edgewood, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1205995578
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. BRUCE DONALD LEWIS JR.Credential: PA-C
Location Address10210 REISTERSTOWN RDOwings Mills, MD 21117-3606
Mailing Address1005 Starboard CtEdgewood, MD 21040-1340 · (410) 612-2178
Phone(410) 902-6776
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateDecember 6, 2006
Last NPPES UpdateAugust 5, 2025
NPPES CertifiedAugust 5, 2025
✔ NPI 1205995578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MD · C0002016
10210 REISTERSTOWN RD, Owings Mills, MD 21117
Open in Google Maps ↗

Secondary Practice Location 1

Location 12719 Pulaski HwyEdgewood, MD 21040-1315 · Phone (410) 612-0374

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Bruce Donald Lewis Jr. Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941351415
PECOS Enrollment IDI20090624000682
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
22 services11 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEKA DORIS ANYAOGU DO
Family Medicine
10210 REISTERSTOWN RD
OWINGS MILLS, MD 21117
Baltimore County (410) 902-6776
DANIELLE AZADEH VAZIRI
Family Medicine
10210 REISTERSTOWN RD
OWINGS MILLS, MD 21117
Baltimore County (410) 902-6776
PERPETUAL U AZUBUIKE
Physician Assistant
10210 REISTERSTOWN RD
OWINGS MILLS, MD 21117
Baltimore County (410) 902-6776
TAMISCHER B. NETTLES MD
Family Medicine
10210 REISTERSTOWN RD
OWINGS MILLS, MD 21117
Baltimore County (410) 902-6776
PATIENT FIRST MARYLAND MEDICAL GROUP PLLC
Family Medicine
10210 REISTERSTOWN RD
OWINGS MILLS, MD 21117
Baltimore County (410) 902-6776
DR. JASON KYLE FEDERLINE D.O.
Family Medicine
10210 REISTERSTOWN RD
OWINGS MILLS, MD 21117
Baltimore County (410) 902-6776
DR. DANA BEBU MD
Internal Medicine
10210 REISTERSTOWN RD
OWINGS MILLS, MD 21117
Baltimore County (410) 902-6776
SUZANNE HO
Family Medicine
10210 REISTERSTOWN RD
OWINGS MILLS, MD 21117
Baltimore County (410) 902-6776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Lewis's NPI number?

The NPI number for Bruce Lewis is 1205995578. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Bruce Lewis located?

Bruce Lewis practices at 10210 Reisterstown Rd, Owings Mills, MD 21117. The listed phone number is (410) 902-6776.

What is Bruce Lewis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Bruce Lewis enrolled in Medicare?

Yes. Bruce Lewis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Bruce Lewis was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.