DR. BRUCE WOODRUFF ANDERSON (NPI# 1083710404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083710404 |
| Entity Type | Individual |
| Full Name | DR. BRUCE WOODRUFF ANDERSON |
| Credential | DDS |
| Practice Address |
2310 E Oakland Ave Ste 13a Bloomington IL 61701-5884 |
| Practice Telephone | 3096621612 |
| Practice Fax Number | 3096620610 |
| Mailing Telephone | 3096621612 |
| Mailing Fax Number | 3096620610 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019-14006 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA PROVIDER | 532725 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124663067 | Bruce William Anderson | Dentist | 2725 Fox Farm Rd, Worthington, MN 56187-3040 | 2019-11-14 |
| 1649464207 | Bruce Nelson Anderson | Dentist | 16 Highland Rd, Wareham, MA 02571-1409 | 2007-08-28 |
| 1235275827 | Bruce G Anderson | Psychologist | 200 East St, Lycoming Clinton Joinder Board, Williamsport, PA 17701 | 2007-01-30 |
| 1104938281 | Bruce Anthony Anderson | Optometrist | 6400 O St, Lincoln, NE 68510-2351 | 2006-08-31 |
| 1639192388 | Bruce W. Anderson | Optometrist | 719 W Fletcher Ave, Tampa, FL 33612-3422 | 2006-07-25 |
| 1497783955 | Bruce John Anderson | Family Medicine | 2724 Isle Royale Ct, Burnsville, MN 55337-3424 | 2006-06-30 |
| 1083611743 | Bruce Robin Anderson | Chiropractor | 508 E 32nd St, Joplin, MO 64804-3902 | 2005-07-07 |
| 1386049211 | Bruce Anderson | Nurse Practitioner | 500 Campus Dr, Hancock, MI 49930-1452 | 2014-11-04 |
| 1083950612 | Bruce Anderson | Physical Therapist | 9000 E Nichols Ave, 9000 E. Nichols Ave, Centennial, CO 80112-3475 | 2012-12-31 |
| 1447564745 | Bruce Ray Anderson | Psychologist | 415 S West St, Suite 150, Royal Oak, MI 48067-2521 | 2010-07-29 |
| Street Address |
2310 E OAKLAND AVE STE 13A |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-5884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972162527 | Pournawattie Andrea Chandradatt | Dentist | 7936 Portland Ave S, Bloomington, MN 55420-1315 | 2019-06-07 |
| 1336601756 | Neha Shah | Dentist | 17644 Valley Blvd Ste 1, Bloomington, CA 92316-3908 | 2019-04-03 |
| 1033689054 | Erick Esmenjaud D.d.s. Inc | Dentist | 18793 Valley Blvd Ste A-b, Bloomington, CA 92316-2253 | 2018-12-03 |
| 1336620160 | Mohamed Owais Sultan | Dentist | 857 S Auto Mall Rd Ste 4, Bloomington, IN 47401-5488 | 2018-08-29 |
| 1285184259 | Children's Center for Dentistry | Dentist | 2111 E Oakland Ave Ste C, Bloomington, IL 61701-5783 | 2016-10-13 |
| 1255783320 | Fatima Quadri | Dentist | 401 N Veterans Pkwy, Unit D, Bloomington, IL 61704-3550 | 2016-07-12 |
| 1528419686 | Brandt Allen Finney | Dentist | 2909 E Buick Cadillac Blvd, Bloomington, IN 47401-5443 | 2016-06-29 |
| 1942668702 | Point Family Dentistry | Dentist | 10611 France Ave S Ste 201, Bloomington, MN 55431-3554 | 2016-02-08 |
| 1710344494 | Bloomington Smiles Dentistry, PC | Dentist | 10700 France Avenue, Suite 102, Bloomington, MN 55437 | 2016-01-26 |
| 1497160204 | Jp Dental - Bloomington, LLC | Dentist | 409 S Dunn St, Bloomington, IN 47401-4822 | 2014-07-01 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.