BRUCE K NEELY, MD - NPI NUMBER 1992731509

Summary

Provider Name: BRUCE K NEELY, MD

NPI Number: 1992731509

Clasification: Emergency Medicine (207P00000X)

Organization: CASCADE EMERGENCY PHYSICIANS

Address:
202 N DIVISION ST
AUBURN, WA
ZIP 98001

Phone Number: (253) 833-7711



Detailed Information

Bruce K Neely, MD is an emergency physician in Auburn, WA with 22 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. The assigned NPI number for this provider is 1992731509 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year: 1992

The provider's business address is:

202 N DIVISION ST
AUBURN, WA
ZIP 98001-939
Phone: (253) 833-7711

The enumeration date for this NPI number is 6/24/2006 and was last updated on 6/10/2010.

Map - Location of Practice

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Taxonomy Codes

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 207P00000X Emergency Medicine MD00032681 WA No
2 207PE0004X Emergency Medicine Emergency Medical Services MD00032681 WA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 F76150 MEDICARE UPIN WA

NPI Record

No. Field Name Field Value
1 NPI 1992731509
2 Entity Type Code 1
3 Provider Last Name Legal Name NEELY
4 Provider First Name BRUCE
5 Provider Middle Name K
6 Provider Credential Text MD
7 Provider First Line Business Practice Location Address 202 N DIVISION ST
8 Provider Business Practice Location Address City Name AUBURN
9 Provider Business Practice Location Address State Name WA
10 Provider Business Practice Location Address Postal Code 980014939
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 2538337711
13 Provider Enumeration Date 6/24/2006
14 Last Update Date 6/10/2010
15 Provider Gender Code M
16 Healthcare Provider Taxonomy Code 1 207P00000X
17 Provider License Number 1 MD00032681
18 Provider License Number State Code 1 WA
19 Healthcare Provider Primary Taxonomy Switch 1 N
20 Healthcare Provider Taxonomy Code 2 207PE0004X
21 Provider License Number 2 MD00032681
22 Provider License Number State Code 2 WA
23 Healthcare Provider Primary Taxonomy Switch 2 Y
24 Other Provider Identifier 1 F76150
25 Other Provider Identifier Type Code 1 02
26 Other Provider Identifier State 1 WA
27 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.