BRUCE L. MATCHIN DOCTOR OF OSTEOPATHY – NPI #1821251794
Family Medicine

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

BRUCE MATCHIN is a physician located in NORTH CHICAGO, IL. NPPES has assigned the NPI number 1821251794 to BRUCE MATCHIN on July 09, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QS0010X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Sports Medicine

The NPI profile was previously updated about 5 years ago on Oct 28, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRUCE MATCHIN below.

NPI Profile for
BRUCE L. MATCHIN

NPI Number
1821251794
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRUCE L. MATCHIN
Credentials
DOCTOR OF OSTEOPATHY
Primary location
CAPTAIN JAMES A. LOVELL FEDERAL HEALTH CARE CENTER
3001 GREEN BAY ROAD
NORTH CHICAGO, IL 60064
Phone: (847) 688-1900 Fax:
Mailing address
8901 WISCONSIN AVENUE
NNMC - GME BUILDING 10 1ST FLOOR ROOM 1006
FPO, AA 20889-5600
Phone: (301) 319-8278 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Oct 08, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QS0010X
- Family Medicine / Sports Medicine (Primary)
MO 2021016045
390200000X
- Student in an Organized Health Care Education/Training Program
VA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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