Bruce E Perry MD
Bruce E Perry MD is a healthcare organization registered as Orthopaedic Surgery Physician in Grants Pass, OR, holding Type 2 (organization) NPI 1104913433 since 2006. The authorized official on file is Bruce Perry, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104913433 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bruce E Perry MD |
| Practice address | 1619 NW HAWTHORNE AVE STE 102, Grants Pass, OR, 97526 |
| Phone | 5414716033 |
| Fax | 5414746874 |
| Enumeration date | 2006-10-06 |
| Last updated in NPPES | 2007-07-19 |
Authorized official
| Name | Bruce Perry |
|---|---|
| Title | Owner |
| Phone | 5414716033 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery Physician | Primary | MD16305 | OR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 096396 | Medicaid | OR | — |
Copy-ready billing details
Provider: Bruce E Perry MD NPI: 1104913433 Taxonomy: 207X00000X (Orthopaedic Surgery Physician) Address: 1619 NW HAWTHORNE AVE STE 102, Grants Pass, OR, 97526
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1952730871 | Mid Rogue Imaging Center | Organization | Radiology Clinic/Center | Grants Pass, OR |
Verify this record
Cross-check NPI 1104913433 against the authoritative CMS record: view Bruce E Perry MD on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Bruce E Perry MD?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2007-07-19.