Bruce Greenwood Nickerson in Orange - Neonatal-perinatal Medicine

Bruce Greenwood Nickerson - NPI 1215026521

Bruce Greenwood Nickerson is a Neonatal-perinatal Medicine in Orange, California. Bruce Greenwood Nickerson practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Bruce Greenwood Nickerson is 1215026521. The last update date is 2008-08-08.

Bruce Greenwood Nickerson's current location address is 455 S Main St, Orange, California. You can contact this provider via phone number 7145328620 and fax number 7142894072. The mailing address for Bruce Greenwood Nickerson is 455 S Main St, Orange, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce Greenwood Nickerson
Address 455 S Main St, Orange, California
Phone Number 7145328620
Fax Number 7142894072
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1215026521
Provider Enumeration Date 2006-10-12
Last Updated Date 2008-08-08

Provider Mailing Address Detail

Address 455 S Main St
City Orange
State California (CA)
Post Code 928683835
Phone Number 7145328620
Fax Number 7142894072

Provider's Primary Taxonomy Detail

Speciality Neonatal-perinatal Medicine
Taxonomy 2080N0001X
Licence No G38843
Definition:
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G388430 CA --
WG38843F CA MEDICARE PTAN

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FAQs about Bruce Greenwood Nickerson

What is the unique 10-digit identifier code assigned to Bruce Greenwood Nickerson by the Centers for Medicare & Medicaid Services?

The Bruce Greenwood Nickerson has been issued the NPI (National Provider Identifier) 1215026521 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Bruce Greenwood Nickerson is physically located?

The Bruce Greenwood Nickerson is physically situated at the following address: 455 S Main St, Orange, CA, 928683835.

What is Bruce Greenwood Nickerson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bruce Greenwood Nickerson is Neonatal-perinatal Medicine, and the taxonomy code that classifies this field of practice is 2080N0001X.

On what date did the Bruce Greenwood Nickerson receive the assignment of its 1215026521 from the Centers for Medicare & Medicaid Services?

The Bruce Greenwood Nickerson was issued its 1215026521 by the Centers for Medicare & Medicaid Services on 2006-10-12.

When was the information regarding Bruce Greenwood Nickerson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Bruce Greenwood Nickerson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-08-08.

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