BRUCE WILLHAM M.D. NPI 1447200704

NPI Information

  • NPI: 1447200704
  • Provider Name: BRUCE WILLHAM, M.D.
  • Classification: Pediatrics - 2080N0001X
  • Specialization: Neonatal-Perinatal Medicine
  • Entity Type: Individual
  • Address: 315 M L KING JR WAY
    ATTN: PEDIATRIX MEDICAL GROUP
    TACOMA, WA
    ZIP 98405
  • Phone: (253) 403-1019

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NPI Details

Bruce Willham, M.D. is a neonatal-perinatal medicine pediatrics in Tacoma, WA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Bruce Willham, M.D. NPI is 1447200704. 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:

315 M L KING JR WAY
ATTN: PEDIATRIX MEDICAL GROUP
TACOMA, WA
ZIP 98405-234
Phone: (253) 403-1019

The enumeration date for this NPI number is 5/10/2006 and was last updated on 7/8/2007.

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
12080N0001XPediatricsNeonatal-Perinatal Medicine22636WASHINGTONYes

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
18306540MEDICAIDWASHINGTON

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: 11/21/2025

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