Bruce D Harley in Mishawaka - Emergency Medicine
Bruce D Harley - NPI 1982687687
Bruce D Harley is a Emergency Medicine in Mishawaka, Indiana. Bruce D Harley practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Bruce D Harley is 1982687687. The last update date is 2011-12-16.
Bruce D Harley's current location address is 5215 Holy Cross Pkwy, Mishawaka, Indiana. You can contact this provider via phone number 5743355000. The mailing address for Bruce D Harley is 5215 Holy Cross Pkwy, Mishawaka, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce D Harley |
|---|---|
| Address | 5215 Holy Cross Pkwy, Mishawaka, Indiana |
| Phone Number | 5743355000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1982687687 |
|---|---|
| Provider Enumeration Date | 2005-11-28 |
| Last Updated Date | 2011-12-16 |
Provider Mailing Address Detail
| Address | 5215 Holy Cross Pkwy |
|---|---|
| City | Mishawaka |
| State | Indiana (IN) |
| Post Code | 465451469 |
| Phone Number | 5743355000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 1058929 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 341270 | IN | ANTHEM | |
| 104645783 | MI | -- | |
| P00178962 | IN | RAIL ROAD MEDICARE | |
| 200491230 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bruce D Harley by the Centers for Medicare & Medicaid Services?
The Bruce D Harley has been issued the NPI (National Provider Identifier) 1982687687 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Bruce D Harley?
The Bruce D Harley is physically situated at 5215 Holy Cross Pkwy, in the city of Mishawaka, state of IN, with the postal code 465451469.
What is Bruce D Harley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bruce D Harley's area of specialization is Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207P00000X.
On what date did Bruce D Harley receive its 1982687687 assignment from the Centers for Medicare & Medicaid Services?
The Bruce D Harley was assigned its 1982687687 on 2005-11-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Bruce D Harley's information last updated?
The Bruce D Harley's information was last updated on 2011-12-16.