BRUCE P GROSSNICKLE M.D. NPI 1518960921

NPI Information

NPI: 1518960921
Provider Name: BRUCE P GROSSNICKLE, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
2251 DUBOIS DR
WARSAW, IN
ZIP 46580
Phone: (574) 269-2777
Get Directions

Bruce P Grossnickle, M.D. is an ophthalmology in Warsaw, IN. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Bruce P Grossnickle, M.D. NPI is 1518960921. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2251 DUBOIS DR
WARSAW, IN
ZIP 46580-212
Phone: (574) 269-2777
Fax: (574) 371-4697

The enumeration date for this NPI number is 5/31/2005 and was last updated on 5/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology		01031752A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	D95734	MEDICARE UPIN	INDIANA
2	100324570	MEDICAID	INDIANA
3	451600A	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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