NPI

Bruce Randy Fillmore

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
D.C.
Type
Individual
Enumeration date
2008-11-05
Last updated
2008-11-05

Specialties

Licenses

License NM
1517

Location

Practice location
100 Mechem Dr Unit 8
City
Ruidoso NM
Postal code
88345-6801
Phone
(575) 937-1900

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Ruidoso, NM. 393 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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