Bruce Greenwood Nickerson
MD | Pediatric Pulmonology | Male
Bruce Greenwood Nickerson, MD is a Orange, California based Pediatric doctor with medical specialization in
Pediatric Pulmonology.
Current practice location of Bruce Greenwood Nickerson is
455 S Main St, Orange, California - 92868-3835. He can be contacted on phone at
714-532-8620 and fax number 714-289-4072.
Bruce Greenwood Nickerson is a sole proprietor of his business.
NPI number (Unique professional ID) for Bruce Greenwood Nickerson is
1215026521 which was assigned by NPPES on 12 Oct, 2006 and it was last updated on 08 Aug, 2008.
Bruce Greenwood Nickerson license number is
G38843 for Pediatrics Pediatric Pulmonology (2080P0214X) in California.
Bruce Greenwood Nickerson is dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Complete Profile:
Bruce Greenwood Nickerson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Pulmonology |
|---|
| Provider Name : | Bruce Greenwood Nickerson |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Bruce Greenwood Nickerson 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 : | 455 S Main St
Orange, CA, 92868-3835
United States |
|---|
| Phone Number : | 714-532-8620 |
|---|
| Fax Number : | 714-289-4072 |
|---|
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 : | 1215026521 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 12 Oct, 2006 |
|---|
| Last Updated On : | 08 Aug, 2008 |
|---|
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 Bruce Greenwood Nickerson are as mentioned. Primary taxonomy code for Bruce Greenwood Nickerson, MD is
2080P0214X (Pediatrics Pediatric Pulmonology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | G38843 | CA |
| 2080P0214X | Pediatrics Pediatric Pulmonology | Yes | G38843 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Bruce Greenwood Nickerson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G388430 | MEDICAID | CA | |
| WG38843F | Other | CA | MEDICARE PTAN |
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 : | 455 S Main St
Orange, CA, 92868-3835
United States |
|---|
| Phone Number : | 714-289-4511 |
|---|
| Fax Number : | 714-289-4788 |
|---|
Business Location:
Patients can refer following map for directions to
Bruce Greenwood Nickerson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.