DAVID R BRUCE DO INC NPI 1841448297

NPI Information

  • NPI: 1841448297
  • Provider Name: DAVID R BRUCE DO INC
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • Doing Business As: JACKSON DERMATOLOGY
  • Address: 817 COURT ST
    SUITE #11
    JACKSON, CA
    ZIP 95642
  • Phone: (209) 223-0038

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NPI Details

DAVID R BRUCE DO INC is a dermatopathology dermatology in Jackson, CA. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. DAVID R BRUCE DO INC NPI is 1841448297. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jackson Dermatology.

The provider's business location address is:

817 COURT ST
SUITE #11
JACKSON, CA
ZIP 95642-156
Phone: (209) 223-0038
Fax: (209) 223-0039

The provider's authorized official is David Randall Bruce .
The authorized official title is President and has the following contact phone number (209) 223-0038.

The enumeration date for this NPI number is 8/28/2008 and was last updated on 3/2/2009.

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
1207ND0900XDermatologyDermatopathology20A5045CALIFORNIAYes

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
11164466041OTHERCALIFORNIANPI
2E60345MEDICARE UPINCALIFORNIA

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: 3/30/2025

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