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DR. BRUCE JORDAN WILBUR M.D. NPI 1619094687


NPI Information

NPI: 1619094687
Provider Name: DR. BRUCE JORDAN WILBUR, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
160 GLEN COVE MARINA RD
SUITE103
VALLEJO, CA
ZIP 94591
Phone: (707) 638-5700
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DR. Bruce Jordan Wilbur, M.D. is a family medicine in Vallejo, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Bruce Jordan Wilbur, M.D. NPI is 1619094687. 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:

160 GLEN COVE MARINA RD
SUITE103
VALLEJO, CA
ZIP 94591
Phone: (707) 638-5700
Fax: (707) 638-5750

The enumeration date for this NPI number is 3/23/2007 and was last updated on 10/14/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineG77764CALIFORNIAYes

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: 11/14/2023

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