BRUCE R MADDERN MD PA – NPI #1225001589
Otolaryngology

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

BRUCE R MADDERN MD PA is an otolaryngologist located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1225001589 to BRUCE R MADDERN MD PA on February 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207YP0228X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Pediatric Otolaryngology

The NPI profile was previously updated about 19 years ago on Sep 07, 2007. 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 R MADDERN MD PA below.

NPI Profile for
BRUCE R MADDERN MD PA

NPI Number
1225001589
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRUCE R MADDERN MD PA
Primary location
10475 CENTURION PKWY N
SUITE 302
JACKSONVILLE, FL 32256-5003
Phone: (904) 398-5437 Fax: (904) 398-3077
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRUCE MADDERN
PRESIDENT
Phone: (904) 398-5437
Updated
Identifiers

Identifiers for BRUCE R MADDERN MD PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAV MEDFL8651
OTHERBC/BS OF FL45553
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.

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.