BRUCE J. WALZ MD – NPI #1063439677
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

BRUCE WALZ is a radiologist located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1063439677 to BRUCE WALZ on July 17, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 18 years ago on Jan 09, 2008. 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 WALZ below.

NPI Profile for
BRUCE J. WALZ

NPI Number
1063439677
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRUCE J. WALZ
Credentials
MD
Primary location
3635 VISTA
SAINT LOUIS, MO 63110
Phone: (314) 577-8815 Fax: (314) 268-5106
Mailing address
3691 RUTGER AVE
PROVIDER ENROLLMENT
ST LOUIS, MO 63110
Phone: (314) 977-4440 Fax:
Sole Proprietor
No
Updated
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
2085R0001X
- Radiology / Radiation Oncology (Primary)
MO 30961

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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