Bruce James Kimura
NPI 1790019016ActiveIndividual· Contractor, Home Modifications· Phoenix, AZ
Contractor, Home Modifications in Phoenix, Arizona, licensed in AZ, with an NPI issued in September 2009.
Overview
| NPI | 1790019016 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 21, 2009 |
| Last updated in NPPES | Sep 21, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor, Home Modifications Primary | 171WH0202X | ROC174046 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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