BRUCE LAWRENCE MD PROF CORP
NPI 1871685255
Family Medicine - Adult Medicine in Oakland, CA

Active since September 29, 2006
445 30TH ST, 2ND FLOOR, OAKLAND, CA 94609(510) 465-2500 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bruce Lawrence Md Prof Corp NPPES

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

BRUCE LAWRENCE MD PROF CORP (NPI 1871685255) is a healthcare organization registered as an adult medicine in Oakland, California and active in the NPI registry since September 2006. The organization lists Bruce P Lawrence, President, as its authorized official.

NPPES Registry Identity

NPI1871685255
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameBRUCE LAWRENCE MD PROF CORP
Location Address445 30TH ST, 2ND FLOOROakland, CA 94609-3301
Mailing Address445 30th St, 2nd FloorOakland, CA 94609-3301
Organization SubpartNo
Authorized OfficialBruce P LawrencePresident · (510) 465-2500
Enumeration DateSeptember 29, 2006
Last NPPES UpdateMay 29, 2015
✔ NPI 1871685255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in CA · G24736
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
445 30TH ST, Oakland, CA 94609

Other Identifiers 2

Medicaid00G247360CA
Medicare UPINA42364CA

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

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 Lawrence Md Prof Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bruce Lawrence MD Prof Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1710901616
445 30TH ST 2ND FLR
Oakland, CA 94609
(510) 465-2500
✔ PECOS✔ Accepts MedicareSame address

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 Lawrence MD Prof Corp's NPI number?

The NPI number for Bruce Lawrence MD Prof Corp is 1871685255. It was assigned to this organization in the NPPES registry on September 29, 2006.

Where is Bruce Lawrence MD Prof Corp located?

Bruce Lawrence MD Prof Corp is located at 445 30th St 2nd Floor, Oakland, CA 94609. The listed phone number is (510) 465-2500.

What is Bruce Lawrence MD Prof Corp's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Bruce Lawrence MD Prof Corp enrolled in Medicare?

Yes. Bruce Lawrence MD Prof Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bruce Lawrence MD Prof Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Bruce Lawrence MD Prof Corp. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bruce Lawrence MD Prof Corp was last updated on May 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.