DR. VICTOR BRUCE (NPI# 1134139884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134139884 |
| Entity Type | Individual |
| Full Name | DR. VICTOR BRUCE |
| Credential | M.D. |
| Practice Address |
2021 S Jones Blvd Las Vegas NV 89146 |
| Mailing Address |
2021 S Jones Blvd Las Vegas NV 89146-3137 |
| Practice Telephone | 7022020099 |
| Practice Fax Number | 7027787632 |
| Mailing Telephone | 7022020099 |
| Mailing Fax Number | 7027787632 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2018-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 18273 | NV | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 18273 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 002018075 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3330 S Hualapai Way, Suite #120, Las Vegas, NV 891177716 | 7027655253 | 7027655354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720094386 | Victor Graham Bruce | Physician Assistant | 1401 Union St, Schenectady, NY 12308-3009 | 2006-08-01 |
| Street Address |
2021 S JONES BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849908 | Lawren Meshell Perry | Registered Nurse | 2021 S Jones Blvd, Las Vegas, NV 89146-3137 | 2020-10-23 |
| 1194387886 | Andrea Irene Petty | Nurse Practitioner | 2021 S Jones Blvd, Las Vegas, NV 89146-3137 | 2019-07-02 |
| 1003395096 | Brightstar Urgent Care | Clinic/Center | 2021 S Jones Blvd, Las Vegas, NV 89146-3137 | 2018-08-09 |
| 1750887113 | Kelly Figueroa | Behavior Technician | 2021 S Jones Blvd, Las Vegas, NV 89146-3137 | 2018-04-04 |
| 1184149254 | Inez Watson | Counselor | 2021 S Jones Blvd, Las Vegas, NV 89146-3137 | 2017-08-09 |
| 1558894402 | Kristina May Dunn | Counselor | 2021 S Jones Blvd, Las Vegas, NV 89146-3137 | 2017-04-07 |
| 1114465192 | Matthew Okeke, M.d. Ltd | Counselor | 2021 S Jones Blvd, Las Vegas, NV 89146-3137 | 2017-02-09 |
| 1821540725 | Erinn Michelae Robles | Behavior Technician | 2021 S Jones Blvd, Las Vegas, NV 89146-3137 | 2016-10-26 |
| 1962952952 | Grand Desert Psychiatric Svc | Counselor | 2021 S Jones Blvd, Las Vegas, NV 89146-3137 | 2016-10-13 |
| 1770930653 | Patricia Moreno Chapelin | Behavioral Analyst | 2021 S Jones Blvd, Las Vegas, NV 89146-3137 | 2016-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1225658982 | Ejo Mannaparambil John Md Pllc | Internal Medicine | 3217 Grayson Lake Ct, Las Vegas, NV 89129-6614 | 2020-04-23 |
| 1780203869 | Curry Pllc | Internal Medicine | 8535 Edna Ave, Las Vegas, NV 89117-4413 | 2020-04-09 |
| 1073142980 | Fajar Corp LLC | Internal Medicine | 2991 Raywood Ash Dr, Las Vegas, NV 89138-6143 | 2020-04-02 |
| 1912534348 | Garrison Medical Consultants Pllc | Internal Medicine | 6852 Sumatra St, Las Vegas, NV 89166-7001 | 2020-03-25 |
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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.