COREY SCOTT BRUCE (NPI# 1164423067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164423067 |
| Entity Type | Individual |
| Full Name | COREY SCOTT BRUCE |
| Credential | M.D. |
| Practice Address |
530 E Thomas Rd Phoenix AZ 85012-3204 |
| Mailing Address |
3030 N Central Ave Ste 1001 Phoenix AZ 85012-2716 |
| Practice Telephone | 6023512229 |
| Practice Fax Number | 6023511500 |
| Mailing Telephone | 6024064786 |
| Mailing Fax Number | 9166364358 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2019-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 29104 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BCBS PROVIDER ID | AZ0720420 | 01 |
| AZ | HEALTH NET PROVIDER ID | 1Z5857 | 01 |
| AZ | HEALTH CHOICE PROVIDER ID | 1550956 | 01 |
| AZ | PACIFICARE PROVIDER ID | 56228579101 | 01 |
| AZ | CIGNA PROVIDER ID | 4872600 | 01 |
| AZ | TAX ID | 562285791 | 01 |
| AZ | AHCCCS PROVIDER ID | 550956 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164850434 | Corey Bruce | Counselor | 1809 E.broadway St. Suite 122, Oviedo, FL 32765 | 2013-10-24 |
| 1114279098 | Corey Jean Bruce | Occupational Therapist | 2120 Heights Dr, Eau Claire, WI 54701-6142 | 2012-10-03 |
| Street Address |
530 E THOMAS RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962544783 | Bruce A. Culbertson | Specialist | 530 E Thomas Rd, Phoenix, AZ 85012-3204 | 2007-02-12 |
| 1902910557 | Kevin J Lythgoe Md PC | Specialist | 530 E Thomas Rd, Phoenix, AZ 85012-3204 | 2006-08-19 |
| 1275647356 | Bruce A Culbertson | Obstetrics & Gynecology | 530 E Thomas Rd, Phoenix, AZ 85012-3204 | 2006-08-18 |
| 1942216585 | Corey S Bruce Md Ltd | Obstetrics & Gynecology | 530 E Thomas Rd, Phoenix, AZ 85012-3204 | 2006-08-01 |
| 1295727253 | Kevin Jay Lythgoe | Obstetrics & Gynecology | 530 E Thomas Rd, Phoenix, AZ 85012-3204 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477050375 | Blue Ye Maya LLC | Obstetrics & Gynecology | 531 E Lynwood St Fl 2, Phoenix, AZ 85004-1626 | 2018-04-09 |
| 1659717924 | Kate E Maroney | Obstetrics & Gynecology | 1661 E Camelback Rd Ste 160, Phoenix, AZ 85016-3921 | 2013-05-14 |
| 1306281571 | Jeffrey Blake Higley | Obstetrics & Gynecology | 650 W Maryland Ave Ste 1, Phoenix, AZ 85013 | 2013-05-01 |
| 1033485511 | Sigrid Gardner Williams | Obstetrics & Gynecology | 4751 N 15th St, Phoenix, AZ 85014-3707 | 2012-03-28 |
| 1316263585 | Allison Amber Snyder | Obstetrics & Gynecology | 3811 E Bell Rd Ste 312, Phoenix, AZ 85032-2160 | 2010-04-13 |
| 1033348487 | Jill D Gibson | Obstetrics & Gynecology | 1313 E Osborn Rd Ste 250, Phoenix, AZ 85014-5699 | 2009-07-07 |
| 1083841969 | Laura T Mercer | Obstetrics & Gynecology | 500 W Thomas Rd Ste 720730, Phoenix, AZ 85013-4224 | 2009-06-17 |
| 1770710097 | Adriana Lea Pritchard | Obstetrics & Gynecology | 1300 North 12th Street, Suite 407, Phoenix, AZ 85006 | 2009-06-12 |
| 1033392113 | Chijioke Nnenna Soribe | Obstetrics & Gynecology | 3003 N Central Ave Ste 1600, Phoenix, AZ 85012-2908 | 2007-12-11 |
| 1013190420 | Neil Trachtenberg, M.d.,p.c. | Obstetrics & Gynecology | 300 W Clarendon Ave Ste 145, Phoenix, AZ 85013-3449 | 2007-12-07 |
| Find all providers in PHOENIX | ||||
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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.