TIMOTHY E BRUYA MD NPI 1558302125

NPI Information

NPI: 1558302125
Provider Name: TIMOTHY E BRUYA, MD
Classification: Specialist - 1744R1102X
Entity Type: Individual

Specialization: Research Study

Address:
104 W 5TH
#400 WEST
SPOKANE, WA
ZIP 99204
Phone: (509) 353-3960
Get Directions

Timothy E Bruya, MD is a research study specialist in Spokane, WA. Timothy E Bruya, MD NPI is 1558302125. 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:

104 W 5TH
#400 WEST
SPOKANE, WA
ZIP 99204
Phone: (509) 353-3960
Fax: (509) 343-0134

The enumeration date for this NPI number is 6/8/2006 and was last updated on 2/19/2008.

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	1744R1102X	Specialist	Research Study	MD00017383	WASHINGTON	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	Other Provider Identifier Issuer
1	8145203	MEDICAID	WASHINGTON
2	130579	OTHER	WASHINGTON	L&I
3	0024765	MEDICAID	MONTANA
4	AB10557	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
5	B002	OTHER		TRI CARE
6	BR5756	OTHER	WASHINGTON	ASURIS

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: 4/28/2024

NPI Synchronization or Removal

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