What is Bruce Lee's NPI number?

Bruce Lee's National Provider Identifier (NPI) is 1568563807, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Bruce Lee's specialty?

Bruce Lee is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Bruce Lee located?

Bruce Lee's practice location on file with NPPES is 181 S Gulling St, Portola, CA 96122-9609.

What is Bruce Lee's phone number?

The practice phone number listed in the NPPES registry for Bruce Lee is (530) 832-4461.

Is Bruce Lee's NPI active?

Yes — Bruce Lee's NPI (1568563807) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Bruce Lee, DDS

NPI 1568563807 · General Practice Dentistry · Portola, CA

Bruce Lee, DDS is a General Practice Dentistry provider in Portola, CA (NPI 1568563807).

Provider details

NPI number: 1568563807
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 25274 (CA)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 25274 (CA)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

181 S Gulling St

Portola, CA 96122-9609

Phone: (530) 832-4461

Street-level locationGet directions

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Mailing address