Dr. Bruce Robert Mirvis
M.D. | Pediatrics | Male
Dr. Bruce Robert Mirvis, M.D. is a Columbus, Ohio based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Bruce Robert Mirvis is
1070 Polaris Pkwy, Suite 100, Columbus, Ohio - 43240-4038. He can be contacted on phone at
614-437-5600 and fax number 614-437-6275.
Dr. Bruce Robert Mirvis is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Bruce Robert Mirvis is
1568434835 which was assigned by NPPES on 02 Feb, 2006 and it was last updated on 09 Feb, 2023.
Dr. Bruce Robert Mirvis license number is
35.039260 for Pediatrics (208000000X) in Ohio.
Dr. Bruce Robert Mirvis is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Bruce Robert Mirvis basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Bruce Robert Mirvis |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Bruce Robert Mirvis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1070 Polaris Pkwy, Suite 100
Columbus, OH, 43240-4038
United States |
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| Phone Number : | 614-437-5600 |
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| Fax Number : | 614-437-6275 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1568434835 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Feb, 2006 |
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| Last Updated On : | 09 Feb, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bruce Robert Mirvis are as mentioned. Primary taxonomy code for Dr. Bruce Robert Mirvis, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 4301116689 | MI |
| 208000000X | Pediatrics | No | 2018042193 | MO |
| 208000000X | Pediatrics | Yes | 35.039260 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Bruce Robert Mirvis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0345086 | MEDICAID | OH | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
19515 BRUNE PKWY,
WARRENTON, MO, 63383-6505
United States | WARRENTON, MO | 888-403-1071 |
3333 W TECH RD,
MIAMISBURG, OH, 45342-0955
United States | MIAMISBURG, OH | 937-641-5725 |
8501 OLD TROY PIKE,
HUBER HEIGHTS, OH, 45424-1054
United States | HUBER HEIGHTS, OH | 937-641-4360 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1070 Polaris Pkwy, Suite 100
Columbus, OH, 43240-4038
United States |
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| Phone Number : | 614-437-5600 |
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| Fax Number : | 614-437-6275 |
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Business Location:
Patients can refer following map for directions to
Dr. Bruce Robert Mirvis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.