DR. BRUCE JAY GARDNER II (NPI# 1316107881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316107881 |
| Entity Type | Individual |
| Full Name | DR. BRUCE JAY GARDNER II |
| Practice Address |
5955 Zeamer Ave Anchorage AK 99506-3702 |
| Practice Telephone | 9075801381 |
| Mailing Telephone | 9075801381 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01062354A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508032103 | Bruce Allen Gardner | Radiology | 222 N 7th St, Bismarck, ND 58501-4436 | 2008-05-02 |
| 1194815480 | Bruce Gardner | Family Medicine | 1915 Queen Anne Ave N, Seattle, WA 98109-2549 | 2006-10-15 |
| Street Address |
5955 ZEAMER AVE |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99506-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912481656 | Colin Michael Mullaly | Military Health Care Provider | 5955 Zeamer Ave, Anchorage, AK 99506-3702 | 2018-09-19 |
| 1780172122 | Kathryn Noel Nyunt | Military Health Care Provider | 5955 Zeamer Ave, Anchorage, AK 99506-3702 | 2018-05-01 |
| 1720587900 | Cody Mckenzie | Pharmacist | 5955 Zeamer Ave, Anchorage, AK 99506-3702 | 2018-02-02 |
| 1568995231 | Michele Lewis | Prevention Professional | 5955 Zeamer Ave, Anchorage, AK 99506-3702 | 2017-04-09 |
| 1275071367 | Daniel Thomas Perez | Nurse Anesthetist, Certified Registered | 5955 Zeamer Ave, Anchorage, AK 99506-3702 | 2017-02-08 |
| 1063897643 | Kevin Trimble | Nurse Practitioner | 5955 Zeamer Ave, Anchorage, AK 99506-3702 | 2015-07-24 |
| 1356735948 | Sarah Nelin | General Practice | 5955 Zeamer Ave, Anchorage, AK 99506 | 2015-03-23 |
| 1346632361 | Steven Ferrell | Emergency Medicine | 5955 Zeamer Ave, Anchorage, AK 99506-3702 | 2015-02-27 |
| 1760872428 | Deana Kubosh | Occupational Therapist | 5955 Zeamer Ave, Anchorage, AK 99506-3702 | 2015-02-02 |
| 1669898623 | Department of Defense | Registered Nurse | 5955 Zeamer Ave, Anchorage, AK 99506-3702 | 2014-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538797279 | Mark Pulver | Social Worker | 673mdg, Zeamer Avenue, Joint Base Elmendorf-richardson, AK 99506 | 2020-03-30 |
| 1871052837 | Ryan Kenny Zarnowski | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 | 2019-03-18 |
| 1679056659 | Bennett Robert Stadler | Physician Assistant | 673 Mdg 5955 Zeamer Avenue, Jber, AK 99506 | 2018-09-14 |
| 1437678687 | Mary Ann Barnard | Nurse Practitioner | Joint Base Elmendorf-richardson Hospital, 5955 Zeamer Ave, Anchorage, AK 99506 | 2017-09-19 |
| 1205375698 | Kuuipo Lau | Social Worker | 673d Mdg, 5955 Zeamer Ave., Jber, AK 99506 | 2017-02-17 |
| 1427434315 | Vance Knauer | Dentist | 673mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-08-03 |
| 1295112159 | Jacob Eby | Pediatrics | 673 Mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-04-29 |
| 1174956338 | Scott M Cheney | Physical Therapist | 673mdg, 5955 Zeamer Ave, Jber, AK 99506 | 2013-08-12 |
| 1518305580 | Jennifer Lynn Robison | Physician Assistant | 65955 Zeamer Avenue, Jber, AK 99506 | 2013-06-12 |
| 1588939664 | Paul Aaron Garrett | Emergency Medicine | 673rd Mdg, 5955 Zeamer Avenue, Jber, Apo, AA 99506 | 2012-03-21 |
| Find all providers in zip 99506 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645021 | Alaska Medical Specialty Group LLC | Family Medicine | 4100 Lake Otis Pkwy Ste 218, Anchorage, AK 99508-5230 | 2018-10-23 |
| 1790278356 | Vanity: Aesthetics, Dermatology & Wellness, LLC | Family Medicine | 431 W 7th Ave Ste 204, Anchorage, AK 99501-3500 | 2018-06-08 |
| 1144677402 | Shadia Sarah Tolliver | Family Medicine | 4001 Dale St Ste 210, Anchorage, AK 99508-5445 | 2016-05-17 |
| 1720466949 | Nicholas A Van Lith | Family Medicine | 3300 Providence Dr Ste B314, Anchorage, AK 99508-4621 | 2015-05-07 |
| 1710390281 | Megan Harman | Family Medicine | 4320 Diplomacy Dr Ste 1191, Anchorage, AK 99508-5925 | 2014-06-03 |
| 1780947143 | Briana Mongini Cranmer | Family Medicine | 1450 Muldoon Rd Ste 100, Anchorage, AK 99504-2820 | 2012-06-20 |
| 1184907107 | Grace Shimotsu | Family Medicine | 7481 Foxridge Way Apt D, Anchorage, AK 99518-2774 | 2011-09-26 |
| 1477844397 | Thomas G Lang Md LLC | Family Medicine | 741 Sesame St Ste 1b, Anchorage, AK 99503-6657 | 2011-04-26 |
| 1114238599 | Erin Royal | Family Medicine | 2841 Debarr Rd Ste 24, Anchorage, AK 99508 | 2010-06-30 |
| 1659691590 | Robin L. Ninefeldt | Family Medicine | 2015 Merrill Field Dr, Anchorage, AK 99501-4137 | 2010-06-02 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.