Bruce Greenwood Nickerson in Orange - Pediatric Pulmonology
Bruce Greenwood Nickerson - NPI 1215026521
Bruce Greenwood Nickerson is a Pediatric Pulmonology in Orange, California. Bruce Greenwood Nickerson practices all healthcare services and medical treatments related to Pediatric Pulmonology. 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 |
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Address | 455 S Main St, Orange, California |
Phone Number | 7145328620 |
Fax Number | 7142894072 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1215026521 |
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Provider Enumeration Date | 2006-10-12 |
Last Updated Date | 2008-08-08 |
Provider Mailing Address Detail
Address | 455 S Main St |
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City | Orange |
State | California (CA) |
Post Code | 928683835 |
Phone Number | 7145328620 |
Fax Number | 7142894072 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Pulmonology |
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Taxonomy | 2080P0214X |
Licence No | G38843 |
Definition: A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
00G388430 | CA | -- | |
WG38843F | CA | MEDICARE PTAN |
Post Comment/ Review Below
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 Pediatric Pulmonology, and the taxonomy code that classifies this field of practice is 2080P0214X.
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.