BRUCE EDISON (NPI# 1659690493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659690493 |
| Entity Type | Individual |
| Full Name | BRUCE EDISON |
| Practice Address |
12010 Cobblestone Dr Houston TX 77024-5054 |
| Practice Telephone | 7134675988 |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | E2195 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
12010 COBBLESTONE DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77024-5054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154955664 | Candace L Lillibridge | Physical Therapist | 700 Town & Country Blvd, Suite 2490, Houston, TX 77024 | 2020-02-24 |
| 1952940728 | Generations Provider Services LLC | Technician | 12633 Memorial Dr #242 Unit, Houston, TX 77024 | 2019-12-27 |
| 1912540352 | Francesca Penner | Psychologist | 920 Frostwood Drive, Suite 670 and 680, Houston, TX 77024 | 2019-10-17 |
| 1407498553 | Charles Hooks Iv | Technician | 12119 Perthshire Rd, Houston, TX 77024 | 2019-10-10 |
| 1427614379 | Texas Regional Clinic | Pain Medicine | 8301 Katy Freeway, Suite 101, Houston, TX 77024 | 2019-05-16 |
| 1922663871 | Fast Premier Transport LLC | Secured Medical Transport (VAN) | 811 Town and Country Blvd., Suite 141, Houston, TX 77024 | 2019-05-07 |
| 1205317534 | Hiro Health Corporation | Durable Medical Equipment & Medical Supplies | 8584 Katy Freeway, Suite 422, Houston, TX 77024 | 2018-08-24 |
| 1548799901 | K Med Pharmacy | Pharmacy | 11900 Barryknoll #6109, Houston, TX 77024 | 2017-06-08 |
| 1184166712 | Baylor College of Medicine | Clinic/Center | 8660 Memorial Drive, Houston, TX 77024 | 2016-11-14 |
| 1376092197 | Elyse Sears Dds Pllc | Dentist | 803 W Sam Houston Pkwy N, Ste 124, Houston, TX 77024 | 2016-09-22 |
| Find all providers in zip 77024 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937886 | Robert Harold Miller | Otolaryngology | 2616 Wroxton Rd, Houston, TX 77005-1312 | 2020-09-18 |
| 1194374843 | Yelda Jozaghi | Otolaryngology | 1515 Holcombe Blvd # 1445, Houston, TX 77030-4000 | 2019-09-05 |
| 1730568502 | Marcus Hershey | Otolaryngology | 4101 Greenbriar Dr Ste 320, Houston, TX 77098-5296 | 2015-05-26 |
| 1124431994 | Viran Jay Ranasinghe | Otolaryngology | 20207 Chasewood Park Dr Ste 100, Houston, TX 77070-1441 | 2014-06-09 |
| 1043635816 | Eduardo Manuel Diaz | Otolaryngology | 9870 Gaylord Dr Apt 1112, Houston, TX 77024-2672 | 2014-03-03 |
| 1073956074 | Jennifer Dang | Otolaryngology | 6550 Fannin St Ste 1727, Houston, TX 77030-2717 | 2013-04-10 |
| 1295094548 | Daniel Peter Fox | Otolaryngology | 18400 Katy Fwy Ste 470, Houston, TX 77094-1287 | 2012-05-07 |
| 1922373653 | Robert Nicholas Berezoski | Otolaryngology | 7123 Heron Dr, Houston, TX 77087-6723 | 2012-03-13 |
| 1033344387 | Kunal Sudhir Jain | Otolaryngology | 6400 Fannin St Ste 2700, Houston, TX 77030-1539 | 2009-05-15 |
| 1720232127 | Alex D Sweeney | Otolaryngology | 1977 Butler Blvd Ste E5.200, Houston, TX 77030-4101 | 2008-11-11 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on BRUCE EDISON.
| 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.