WILLIAM BRUCE ETHRIDGE MD NPI 1205890530

NPI Information

NPI: 1205890530
Provider Name: WILLIAM BRUCE ETHRIDGE, MD
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

Address:
1951 W 25TH STREET
STE F
YUMA, AZ
ZIP 85364
Phone: (928) 314-1174
Get Directions

William Bruce Ethridge, MD is a medical oncology internal medicine in Yuma, AZ. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. William Bruce Ethridge, MD NPI is 1205890530. 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:

1951 W 25TH STREET
STE F
YUMA, AZ
ZIP 85364
Phone: (928) 314-1174
Fax: (928) 314-1175

The enumeration date for this NPI number is 4/13/2006 and was last updated on 2/20/2008.

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	2085R0001X	Radiology	Radiation Oncology	12956	ARIZONA	No
2	207RX0202X	Internal Medicine	Medical Oncology	12956	ARIZONA	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	E00268	MEDICARE UPIN	ARIZONA
2	78621	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA
3	249145	OTHER	ARIZONA	AHCCCS
4	Z113017	MEDICARE PIN

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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