DR. BRUCE STEWART WEST M.D. NPI 1588632780

NPI Information

  • NPI: 1588632780
  • Provider Name: DR. BRUCE STEWART WEST, M.D.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • CLIA Number: 10D0266875
  • Address: 1340 S 18TH ST
    #203
    FERNANDINA BEACH, FL
    ZIP 32034
  • Phone: (904) 261-7707

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NPI Details

DR. Bruce Stewart West, M.D. is a pediatrics in Fernandina Beach, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Bruce Stewart West, M.D. NPI is 1588632780. 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:

1340 S 18TH ST
#203
FERNANDINA BEACH, FL
ZIP 32034-799
Phone: (904) 261-7707
Fax: (907) 261-8616

The CLIA number assigned to this NPI record is 10D0266875 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 8/17/2015.

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
1208000000XPediatrics0101042844VIRGINIANo
2208000000XPediatricsME99878FLORIDAYes

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
1280146900MEDICAIDFLORIDA
26734952MEDICAIDVIRGINIA
3F77792MEDICARE UPIN

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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