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DR. BRUCE ALLEN GROOM MD
NPI 1639270382
Family Medicine in Mandeville, LA

Active since September 26, 2006PECOS Enrolled
639 LOTUS DRIVE N, SUITE B, MANDEVILLE, LA 70470(985) 626-6133(985) 626-6136 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bruce Allen Groom Md NPPES

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

DR. BRUCE ALLEN GROOM MD (NPI 1639270382) is an individual family medicine provider in Mandeville, Louisiana, licensed in Arkansas (R4295) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639270382
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BRUCE ALLEN GROOMCredential: MD
Location Address639 LOTUS DRIVE N, SUITE BMandeville, LA 70470
Mailing Address3908 Batesville PikeSherwood, AR 72120 · (501) 529-5045
Phone(985) 626-6133
Fax(985) 626-6136
Sole ProprietorYes
Enumeration DateSeptember 26, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1639270382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · R4295
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License R4295 (AR)
639 LOTUS DRIVE N, Mandeville, LA 70470
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bruce Allen Groom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70470 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. CAXTON ADEREMI OPERE MD
Internal Medicine
639 LOTUS DRIVE N, SUITE B
MANDEVILLE, LA 70470
St. Tammany Parish (985) 626-6133
DR. DAVID MARTIN LIFSHUTZ MD
Emergency Medicine
639 LOTUS DRIVE N, SUITE B
MANDEVILLE, LA 70470
St. Tammany Parish (985) 626-6133

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 Groom's NPI number?

The NPI number for Bruce Groom is 1639270382. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Bruce Groom located?

Bruce Groom practices at 639 Lotus Drive N Suite B, Mandeville, LA 70470. The listed phone number is (985) 626-6133.

What is Bruce Groom's specialty?

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

Is Bruce Groom enrolled in Medicare?

Yes. Bruce Groom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bruce Groom was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.