Dr Bruce D Serven Pc in Flint - Sports Physician
Dr Bruce D Serven Pc - NPI 1235390162
Dr Bruce D Serven Pc is a Sports Physician in Flint, Michigan. Dr Bruce D Serven Pc practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Dr Bruce D Serven Pc is 1235390162. The last update date is 2008-06-23.
Dr Bruce D Serven Pc's current location address is G4010 W Court St, Flint, Michigan. You can contact this provider via phone number 8107322210 and fax number 8102300158. The mailing address for Dr Bruce D Serven Pc is G4010 W Court St, Flint, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dr Bruce D Serven Pc |
|---|---|
| Address | G4010 W Court St, Flint, Michigan |
| Phone Number | 8107322210 |
| Fax Number | 8102300158 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Serven Devere Bruce |
| Credentials | DC |
| Telephone Number | 8107322210 |
NPI Number Detail
| NPI Number | 1235390162 |
|---|---|
| Provider Enumeration Date | 2008-06-23 |
| Last Updated Date | 2008-06-23 |
Provider Mailing Address Detail
| Address | G4010 W Court St |
|---|---|
| City | Flint |
| State | Michigan (MI) |
| Post Code | 485323518 |
| Phone Number | 8107322210 |
| Fax Number | 8102300158 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 2301005078 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 981838 | MI | HEALTHPLUS OF MICHIGAN | |
| 2590087 | MI | -- | |
| 950B55005 | MI | BCBSM |
Post Comment/ Review Below
What is the unique identifier code issued to Dr Bruce D Serven Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Dr Bruce D Serven Pc has been assigned the NPI (National Provider Identifier) 1235390162. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Dr Bruce D Serven Pc?
The Dr Bruce D Serven Pc is physically situated at G4010 W Court St, in the city of Flint, state of MI, with the postal code 485323518.
What is the area of specialization for Dr Bruce D Serven Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dr Bruce D Serven Pc is Sports Physician, and the corresponding taxonomy code that categorizes this area of expertise is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services assign the 1235390162 to Dr Bruce D Serven Pc?
The Centers for Medicare & Medicaid Services assigned the 1235390162 to Dr Bruce D Serven Pc on 2008-06-23.
When was the information related to Dr Bruce D Serven Pc most recently updated or refreshed?
The details pertaining to the Dr Bruce D Serven Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-23.