Dr Bruce Calvin Underwood, DRPH,MSE,MPH is a
Nutritionist based in Indian Wells, California. Dr Bruce Calvin Underwood is licensed to practice in California (license number ) and his current practice location is
75895 Altamira Dr, Indian Wells, California. He can be reached at his office (for appointments etc.) via phone at
(760) 238-1446.
NPI number for Dr Bruce Calvin Underwood is 1851743827 and his current mailing address is 75895 Altamira Dr, Indian Wells, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851743827.
Healthcare Provider's Profile
| Full Name | Dr Bruce Calvin Underwood |
|---|
| Gender | Male |
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| Speciality | Nutritionist |
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| Location | 75895 Altamira Dr, Indian Wells, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1851743827
- Provider Enumeration Date: 07/01/2016
- Last Update Date: 07/01/2016
Medical Identifiers
Medical identifiers for Dr Bruce Calvin Underwood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851743827 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (California) | Secondary |
| 133N00000X | Nutritionist | (California) | Primary |
| 133NN1002X | Nutritionist - Nutrition, Education | (California) | Secondary |
| 174H00000X | Health Educator | (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bruce Calvin Underwood is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bruce Calvin Underwood, DRPH,MSE,MPH
75895 Altamira Dr,
Indian Wells, CA 92210-8768
Ph: (760) 238-1446 | Dr Bruce Calvin Underwood, DRPH,MSE,MPH
75895 Altamira Dr,
Indian Wells, CA 92210-8768
Ph: (760) 238-1446 |
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