BRUCE D. DRAGOO MD – NPI #1578568317
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

BRUCE DRAGOO is an ophthalmologist located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1578568317 to BRUCE DRAGOO on June 17, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 5 years ago on Mar 11, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRUCE DRAGOO below.

NPI Profile for
BRUCE D. DRAGOO

NPI Number
1578568317
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRUCE D. DRAGOO
Credentials
MD
Primary location
1000 EAST PARIS SE
STE 225
GRAND RAPIDS, MI 49546
Phone: (616) 957-3643 Fax: (616) 957-0896
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Mar 11, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BRUCE DRAGOO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSS & BLUE SHIELDMI180D117670
OTHERMI BCBS STAT LICENSEMIBD028716
OTHERMI STATE LICENSEMI4301028716
OTHERPRIORITY HEALTHMI382237488
MEDICAIDMI1083311
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)
MI 4301028716

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.