DAVID R BRUCE DO INC (NPI# 1841448297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841448297 |
| Entity Type | Organization |
| Organization Name | DAVID R BRUCE DO INC |
| Other Organization Name | JACKSON DERMATOLOGY |
| Practice Address |
817 Court St Suite #11 Jackson CA 95642-2156 |
| Mailing Address |
817 Court St Suite # 11 Jackson CA 95642-2156 |
| Practice Telephone | 2092230038 |
| Practice Fax Number | 2092230039 |
| Mailing Telephone | 2092230038 |
| Mailing Fax Number | 2092230039 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2009-03-02 |
| Authorized Official Name | DR. DAVID RANDALL BRUCE (PRESIDENT) |
| Authorized Official Telephone | 2092230038 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
20A5045 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1164466041 | 01 |
| Other Name | Type Code |
|---|---|
| JACKSON DERMATOLOGY | Doing Business As Name - Organization |
| Street Address |
817 COURT ST SUITE #11 |
| City | JACKSON |
| State | CA |
| Zip Code | 95642-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083609101 | Duane Phillip Gibson | Optometrist | 817 Court St, Suite 10, Jackson, CA 95642-2156 | 2005-09-14 |
| 1316331218 | Bhumika Sherdiwala | Anesthesiology | 817 Court St, Jackson, CA 95642-2156 | 2015-03-27 |
| 1669725008 | Michael James Merry | Optometrist | 817 Court St, 10, Jackson, CA 95642-2156 | 2012-10-23 |
| 1992094874 | Karen Pantazis Md | Pain Medicine | 817 Court St, Suite 14, Jackson, CA 95642-2156 | 2011-03-31 |
| 1265670384 | Linda Marie Colliflower | Nurse Practitioner | 817 Court St, #8, Jackson, CA 95642-2156 | 2009-01-27 |
| 1699854158 | Sierra Eyecare Associates | Optometrist | 817 Court St, Suite 10, Jackson, CA 95642-2156 | 2006-11-03 |
| 1770661423 | Karen Louise Pantazis | Anesthesiology | 817 Court St, Suite 14, Jackson, CA 95642-2156 | 2006-11-01 |
| 1164466041 | David Randall Bruce | Dermatology | 817 Court St, Jackson, CA 95642-2156 | 2006-06-15 |
| 1841261187 | Jerry L Jolley | Optometrist | 817 Court St, Suite 10, Jackson, CA 95642-2156 | 2006-01-26 |
| 1417927161 | Steven J Fronk | Optometrist | 817 Court St, Suite 10, Jackson, CA 95642-2156 | 2006-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
| 1053844902 | Kathryn Erosa | Pharmacist | 515 Highway 49 South, Jackson, CA 95642 | 2017-04-07 |
| 1356882039 | Thomas Alan Bowhay | Clinic/Center | 820 Highway 88, Jackson, CA 95642 | 2017-03-15 |
| 1710130141 | Roland E Womack | Dentist | 511 Sutter St, Jackson, CA 95642 | 2008-10-29 |
| 1508929522 | Stanley M Ordonez | Dentist | 645 New York Ranch Rd, Jackson, CA 95642 | 2006-12-19 |
| 1942374996 | Thomas W Zeiler | Chiropractor | 665 New York Ranch Rd Suite 2, Jackson, CA 95642 | 2006-11-20 |
| 1023188968 | Cordelia Rose Slayter | Physical Therapist | 711 S State Hwy 49, Jackson, CA 95642 | 2006-11-08 |
| 1285744946 | Raleys | Pharmacy | 781 South Highway 49, Jackson, CA 95642 | 2006-08-30 |
| 1316996747 | Robert R. Bussell X | Physical Therapist | 813 Court Street, Ste 2, Jackon, CA 95642 | 2006-05-10 |
| 1861953135 | Chelsea Yule Solutions | Clinic/Center | 230 N Main St, Jackson, CA 95642 | 2019-03-28 |
| Find all providers in zip 95642 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| 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. |
| 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 Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1487011995 | Brouha Dermatology, P.C. | Dermatology | 1319 Beryl St, San Diego, CA 92109-2102 | 2016-01-28 |
| 1528317419 | Heidi M Gilchrist, Md, Inc. | Dermatology | 345 Saxony Road Suite 201, Encinitas, CA 92024-2787 | 2012-09-06 |
| 1194028233 | Pavillion Asc Inc. | Dermatology | 28901 S. Western Avenue #127, Rancho Palos Veredes, CA 90275 | 2010-12-13 |
| 1093021495 | Douglas G Hamilton Medical Corp | Dermatology | 6325 Topanga Canyon Blvd Ste 301, Woodland Hills, CA 91367-2029 | 2010-08-23 |
| 1124254933 | Ronnie M Abraham | Dermatology | 3440 Empresa Dr Ste B, San Luis Obispo, CA 93401 | 2009-06-08 |
| 1316187180 | Choice Telemed | Dermatology | 2001 Union St Ste 495, San Francisco, CA 94123-4128 | 2009-03-05 |
| 1063686707 | James D. Jacobitz, M.d. Inc. | Dermatology | 190 Eucalyptus Dr, San Francisco, CA 94132-1629 | 2008-04-14 |
| 1407034481 | Richard P Klimkowski Md PC | Dermatology | 224 Del Mar, #b, San Clemente, CA 92672-4011 | 2008-02-01 |
| 1457538415 | S. Gayle Widyolar, M.d., Inc. | Dermatology | 21 Montecito Dr, Corona Del Mar, CA 92625-1017 | 2008-01-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DAVID R BRUCE DO INC.
| 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.