DR. BRUCE ROBERT MCCUNE (NPI# 1649214040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649214040 |
| Entity Type | Individual |
| Full Name | DR. BRUCE ROBERT MCCUNE |
| Credential | MD |
| Practice Address |
1425 Malabar Rd Ne Palm Bay FL 32907-2506 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3214348078 |
| Practice Fax Number | 3214348075 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME87439 | FL | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
19807 | NC | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | ME87439 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 018828400 | 05 | |
| FL | MEDICARE | IR407Z | 01 |
| Street Address |
1425 MALABAR RD NE |
| City | PALM BAY |
| State | FL |
| Zip Code | 32907-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439616 | Karen Jeanette Bills | Pharmacist | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2005-06-30 |
| 1215554746 | Dawn Ann Stewart-brown | Nurse Practitioner | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2020-06-30 |
| 1780223230 | Samantha Kraus | Social Worker | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2020-01-02 |
| 1811480643 | Michael William Stainton | Nurse Practitioner | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2018-06-06 |
| 1811404866 | Ingrid A Lovelace-joseph | Nurse Practitioner | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2017-12-29 |
| 1205364478 | Amy Lynn Hibbard | Pharmacist | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2017-05-31 |
| 1114380821 | Merle Lewis | Internal Medicine | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2016-03-30 |
| 1376955682 | Hussien A Ballout | Internal Medicine | 1425 Malabar Rd Ne, Palm Bay, FL 32907 | 2014-05-21 |
| 1881027068 | Pinkesh B Prajapati | Hospitalist | 1425 Malabar Rd Ne, Palm Bay, FL 32907 | 2013-08-12 |
| 1003255019 | Anthony Jay Herzog | Hospitalist | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2013-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015109 | Tyreak Albert Mclarty | Behavior Technician | 2180 Julian Ave Nw, Palm Bay, FL 32907 | 2020-05-21 |
| 1871073759 | Jessica Elizabeth Ford | Physical Therapist | 470 Malabar Rd Se Unit 102, Palm Bay, FL 32907 | 2018-08-20 |
| 1598264558 | Corey Williams | Case Management | 1850 Delki St. Nw, Palm Bay, FL 32907 | 2018-02-06 |
| 1386154904 | Lauren Nicole Meek | Social Worker | 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 | 2017-10-10 |
| 1679002877 | Kandice Monique Hearns | Physical Therapy Assistant | 175 Ne Villa Nueva Ave, Palm Bay, FL 32907 | 2017-06-09 |
| 1780113076 | Caring Manor LLC | Assisted Living Facility | 1863 Edith St Ne, Palm Bay, FL 32907 | 2017-06-08 |
| 1467992107 | Enrique Martinez | Counselor | 1510 Studley Dr. Nw, Palm Bay, FL 32907 | 2017-02-28 |
| 1144776469 | Stephanie Ann Hoenig | Physical Therapy Assistant | 1155 Malabar Rd Se, Palm Bay, FL 32907 | 2016-08-28 |
| 1124471529 | K & S Tender Care 11 | Assisted Living Facility | 226 Abalone Road Ne, Palm Bay, FL 32907 | 2016-07-20 |
| 1235507781 | Jai Ho LLC | Specialist | 1663 Georgia Street, Suite 400, Palm Bay, FL 32907 | 2015-09-14 |
| Find all providers in zip 32907 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326308313 | Mohammad Idrees Md, P.a. | Internal Medicine | 1454 Belaire Lane N.e., Palm Bay, FL 32905 | 2012-05-23 |
| 1942244934 | Carline Quander | Internal Medicine | 1421 Malabar Rd Ne Ste 250, Palm Bay, FL 32907-2587 | 2006-06-16 |
| 1750342747 | Robert Benish | Internal Medicine | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321382 | Charlotte Harbor Gastroenterology LLC | Internal Medicine | 2811 Tamiami Trl Ste I, Port Charlotte, FL 33952-5135 | 2020-09-22 |
| 1750907614 | Michael G. Valladares D.o. P.a. | Internal Medicine | 10302 Sw 116th St, Miami, FL 33176-4049 | 2020-06-17 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1750922399 | Gastroenterology Care Specialists, LLC | Internal Medicine | 550 Redstone Ave W Ste 430, Crestview, FL 32536-6457 | 2019-10-04 |
| 1194375378 | Digestive and Liver Disease Institute of Florida, LLC | Internal Medicine | 505 W Oak St Ste 202, Kissimmee, FL 34741-4986 | 2019-09-18 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1225507601 | Linmec Corp | Internal Medicine | 4531 Deleon St Ste 215, Fort Myers, FL 33907-1279 | 2018-11-15 |
| 1912474156 | Eileen E Kim | Internal Medicine | 5117 Fiorella Ln, Sanford, FL 32771-5449 | 2018-10-25 |
| 1790251197 | Gabriel Benitez | Internal Medicine | 2330 Wilton Dr, Wilton Manors, FL 33305-1249 | 2018-10-23 |
| 1043786833 | Union Medical Group | Internal Medicine | 6300 Corporate Ct Ste 105, Fort Myers, FL 33919-3513 | 2018-10-18 |
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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.