BRUCE M MCDONALD MD NPI 1750364972

NPI Information

NPI: 1750364972
Provider Name: BRUCE M MCDONALD, MD
Classification: Pediatrics - 2080P0210X
Entity Type: Individual

Specialization: Pediatric Nephrology

PECOS Registration: Yes

Address:
267 GRANT ST
BRIDGEPORT, CT
ZIP 06610
Phone: (203) 384-3717
Get Directions

Bruce M Mcdonald, MD is a pediatric nephrology pediatrics in Bridgeport, CT. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. Bruce M Mcdonald, MD NPI is 1750364972. 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:

267 GRANT ST
BRIDGEPORT, CT
ZIP 06610-805
Phone: (203) 384-3717
Fax: (203) 384-4132

The NPI 1750364972 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/22/2005 and was last updated on 11/9/2010.

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	2080P0210X	Pediatrics	Pediatric Nephrology	020490	CONNECTICUT	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	E31768	MEDICARE UPIN
2	001204908	MEDICAID	CONNECTICUT
3	D400012448	MEDICARE PIN	CONNECTICUT

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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