ROBERT BRUCE INC NPI 1164847273

NPI Information

NPI: 1164847273
Provider Name: ROBERT BRUCE, INC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
4950 CHERRY AVE
#41
SAN JOSE, CA
ZIP 95118
Phone: (408) 448-3693
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ROBERT BRUCE, INC is a surgical physician assistant in San Jose, CA. ROBERT BRUCE, INC NPI is 1164847273. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4950 CHERRY AVE
#41
SAN JOSE, CA
ZIP 95118-751
Phone: (408) 448-3693
Fax: (408) 448-3693

The provider's authorized official is Robert Bruce .
The authorized official title is Physician Assistant and has the following contact phone number (408) 448-3693.

The enumeration date for this NPI number is 2/26/2014 and was last updated on 2/26/2014.

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	363AS0400X	Physician Assistant	Surgical	PA20241	CALIFORNIA	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	PA20241	OTHER	CALIFORNIA	MEDICAL LICENSE

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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