David Randall Bruce, DO is a
Dermatology physician based in Jackson, California. David Randall Bruce is licensed to practice in California (license number 20A5045) and his current practice location is 817 Court St, Jackson, California. He can be reached at his office (for appointments etc.) via phone at
(209) 223-0038.
NPI number for David Randall Bruce is 1164466041 and his current mailing address is 817 Court St, Suite #11, Jackson, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164466041.
Physician's Profile
| Full Name | David Randall Bruce |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 817 Court St, Jackson, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164466041
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 09/21/2015
Medical Identifiers
Medical identifiers for David Randall Bruce such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164466041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 20A5045 (California) | Primary |
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. David Randall Bruce 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 |
|---|
David Randall Bruce, DO
817 Court St, Suite #11,
Jackson, CA 95642-2156
Ph: (209) 223-0038 | David Randall Bruce, DO
817 Court St,
Jackson, CA 95642-2156
Ph: (209) 223-0038 |
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