BRUCE A. REDDIX M.D. – NPI #1174632780
Pediatrics

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Health Care Provider Taxonomy Code for Pediatrics

NPI Profile
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BRUCE REDDIX is a physician located in COLTON, CA. NPPES has assigned the NPI number 1174632780 to BRUCE REDDIX on August 29, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2080N0001X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Neonatal-Perinatal Medicine

The NPI profile was previously updated about 5 years ago on Feb 26, 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 REDDIX below.

NPI Profile for
BRUCE A. REDDIX

NPI Number

1174632780

Enumeration Date

Aug 29, 2006
(about 20 years ago)

Entity Type

Type-1 Individual (Male)

Legal Name

BRUCE A. REDDIX

Credentials

M.D.

Primary location

400 N. PEPPER AVE.
COLTON, CA 92324

Phone: (909) 580-3380

2 Other location(s):

310 Sunnyview Ln
Kalispell, MT 59901-3129
Phone: (406) 751-5391
Fax: (406) 751-2988

350 Sunnyview Ln
Kalispell, MT 59901-3129
Phone: (406) 752-5111
Fax: (406) 756-2703

Mailing address

Same as primary location

Sole Proprietor

Updated

Feb 26, 2021

Certification Date

Feb 26, 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.

Identifiers

Identifiers for BRUCE REDDIX

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.

Description	Issuer	State	Identifier
MEDICAID		CO	01298504

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
2080N0001X - Pediatrics / Neonatal-Perinatal Medicine (Primary)	MT	87050

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

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