DR. KENTON T BRUICE M.D.
NPI 1487692117
Specialist in Aspen, CO

Active since June 03, 2006PECOS Enrolled
100 E MAIN ST, ASPEN, CO 81611(970) 925-6655(970) 920-6738 Get Directions Write a Review

NPPES record last updated: August 26, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kenton T Bruice M.d. NPPES

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

DR. KENTON T BRUICE M.D. (NPI 1487692117) is an individual specialist in Aspen, Colorado, licensed in Colorado (37319) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487692117
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. KENTON T BRUICECredential: M.D.
Location Address100 E MAIN STAspen, CO 81611-1780
Mailing Address100 E Main StAspen, CO 81611-1780 · (970) 925-6655 · Fax (970) 920-6738
Fax(970) 920-6738
Sole ProprietorYes
Enumeration DateJune 3, 2006
Last NPPES UpdateAugust 26, 2008
NPI 1487692117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CO · 37319
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

100 E MAIN ST, Aspen, CO 81611

Other Identifiers 3

Medicare UPING80451CO
Medicaid01373190CO
Medicare PINC37319CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Kenton T Bruice M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 25, 2016 through February 25, 2026.

Opt-Out Effective DateFebruary 25, 2016
Opt-Out In Effect ThroughFebruary 25, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 7

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

Internal Medicine
100 E MAIN ST, STE 201
ASPEN, CO 81611
Internal Medicine
100 E MAIN ST, STE 201
ASPEN, CO 81611
Nurse Practitioner (Psychiatric/Mental Health)
100 E MAIN ST, SUITE 202
ASPEN, CO 81611
Pharmacist
100 E MAIN ST, SUITE 102
ASPEN, CO 81611
Physician Assistant
100 E MAIN ST, SUITE 100
ASPEN, CO 81611
Psychiatry & Neurology (Child & Adolescent Psychiatry)
100 E MAIN ST, SUITE 202
ASPEN, CO 81611
Orthopaedic Surgery
100 E MAIN ST, SUITE 101
ASPEN, CO 81611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487692117, enumerated as an "individual" on June 03, 2006.

The provider is located at 100 E MAIN ST ASPEN, CO 81611 and the phone number is (970) 925-6655.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.