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BRUCE WISHNOV DO PA
NPI 1316014590
Family Medicine in Boca Raton, FL

Active since November 30, 2006
22065 STATE ROAD 7, BOCA RATON, FL 33428(561) 488-4847(561) 488-4366 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bruce Wishnov Do Pa NPPES

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

BRUCE WISHNOV DO PA (NPI 1316014590) is a healthcare organization registered as a family medicine in Boca Raton, Florida and active in the NPI registry since November 2006. The organization lists Bruce Wishnov, President, as its authorized official.

NPPES Registry Identity

NPI1316014590
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBRUCE WISHNOV DO PA
Location Address22065 STATE ROAD 7Boca Raton, FL 33428-4219
Mailing Address22065 State Road 7Boca Raton, FL 33428-4219 · (561) 488-4847 · Fax (561) 488-4366
Phone(561) 488-4847
Fax(561) 488-4366
Organization SubpartNo
Authorized OfficialBruce WishnovPresident · (561) 488-4847
Enumeration DateNovember 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1316014590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
22065 STATE ROAD 7, Boca Raton, FL 33428
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bruce Wishnov Do Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Bruce Wishnov Do PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Anne Mon
Nurse Practitioner
NPI 1225510985
22065 STATE ROAD 7
Boca Raton, FL 33428
(561) 488-4847
✔ PECOSSame address
Bruce Wishnov, DO
Family Practice
NPI 1134296395
22065 STATE ROAD 7
Boca Raton, FL 33428
(561) 488-4847
✔ PECOS✔ Accepts MedicareSame address
Leanne Butler, N.P.
Nurse Practitioner
NPI 1568897791
20665 LYONS RD #A3
Boca Raton, FL 33434
(561) 883-6677
✔ PECOS2.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wishnov Do PA's NPI number?

The NPI number for Bruce Wishnov Do PA is 1316014590. It was assigned to this organization in the NPPES registry on November 30, 2006.

Where is Bruce Wishnov Do PA located?

Bruce Wishnov Do PA is located at 22065 State Road 7, Boca Raton, FL 33428. The listed phone number is (561) 488-4847.

What is Bruce Wishnov Do PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bruce Wishnov Do PA enrolled in Medicare?

Yes. Bruce Wishnov Do PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bruce Wishnov Do PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Bruce Wishnov Do PA, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bruce Wishnov Do PA accept?

Health plans from AvMed list Bruce Wishnov Do PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bruce Wishnov Do PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.