Bruce Robert Maddern in Jacksonville - Otolaryngology/facial Plastic Surgery
Bruce Robert Maddern - NPI 1528030418
Bruce Robert Maddern is a Otolaryngology/facial Plastic Surgery in Jacksonville, Florida. Bruce Robert Maddern practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Bruce Robert Maddern is 1528030418. The last update date is 2014-06-25.
Bruce Robert Maddern's current location address is 10475 Centurion Pkwy N, Jacksonville, Florida. You can contact this provider via phone number 9043985437 and fax number 9043983077. The mailing address for Bruce Robert Maddern is 10475 Centurion Pkwy N, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Robert Maddern |
|---|---|
| Address | 10475 Centurion Pkwy N, Jacksonville, Florida |
| Phone Number | 9043985437 |
| Fax Number | 9043983077 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1528030418 |
|---|---|
| Provider Enumeration Date | 2006-02-03 |
| Last Updated Date | 2014-06-25 |
Provider Mailing Address Detail
| Address | 10475 Centurion Pkwy N |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322565003 |
| Phone Number | 9043985437 |
| Fax Number | 9043983077 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | ME0056292 |
|
Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 205114006 | FL | CIGNA | |
| 2218700 | FL | AETNA | |
| 61886100 | FL | -- | |
| P2759499 | FL | OXFORD | |
| 8675 | FL | BCBS | |
| 12056336 | FL | MULTIPLAN | |
| 203211 | FL | AV MED |
Post Comment/ Review Below
What is the unique identification code assigned to Bruce Robert Maddern by the Centers for Medicare & Medicaid Services?
The Bruce Robert Maddern has been issued the NPI (National Provider Identifier) 1528030418. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Bruce Robert Maddern's facilities are geographically located?
The facilities of Bruce Robert Maddern are physically situated at the following location: 10475 Centurion Pkwy N, Jacksonville, FL, 322565003.
What is Bruce Robert Maddern's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bruce Robert Maddern is Otolaryngology/facial Plastic Surgery, and the corresponding taxonomy classification code for this specialized field is 207Yx0905X.
On what date did the Centers for Medicare & Medicaid Services issue the 1528030418 to Bruce Robert Maddern?
The Bruce Robert Maddern received its 1528030418 assignment from the Centers for Medicare & Medicaid Services on 2006-02-03.
When was the information regarding Bruce Robert Maddern, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bruce Robert Maddern, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-06-25.