David Randall Bruce, DO is a medicare enrolled "Dermatology" physician in Jackson, California. His current practice location is
817 Court St, Jackson, California. You can reach out to his office (for appointments etc.) via phone at
(209) 223-0038.
David Randall Bruce is licensed to practice in California (license number 20A5045) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164466041
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 09/21/2015
Medicare PECOS Information:
- PECOS PAC ID: 9234167636
- Enrollment ID: I20050727000856
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
enrolled with medicare and thus, if eligible, can 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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