BRUCE E DALL


Address: 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048-1639
Phone: 2693431264

BRUCE E DALL (NPI# 1225018591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225018591
Entity Type Individual
Full Name BRUCE E DALL
Credential M.D.
Practice Address 1541 Gull Rd
Suite 200
Kalamazoo
MI 49048-1639
Practice Telephone 2693431264
Practice Fax Number 2693439555
Mailing Telephone 2693431264
Mailing Fax Number 2693439555
Enumeration Date 2006-01-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery 4301042369 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 4716750 05

Office Location

Street Address 1541 GULL RD
SUITE 200
City KALAMAZOO
State MI
Zip Code 49048-1639

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457331183 Richard A Dirrenberger Neurological Surgery 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048-1639 2006-01-19
1497295984 Amanda Jo Johnson Physician Assistant 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048-1644 2017-03-02
1144591629 Beverly Renae Deblecourt Nurse Practitioner 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048-1644 2012-01-16
1801060397 Anthony Lee Psychiatry & Neurology 1541 Gull Rd, Ste 100, Kalamazoo, MI 49048-1644 2008-04-16
1881716959 Hunter Geoffrey Brumblay Neurological Surgery 1541 Gull Rd, Ste 200, Kalamazoo, MI 49048-1644 2007-04-06
1093812349 Eriks Antons Lusis Neurological Surgery 1541 Gull Rd, Ste 200, Kalamazoo, MI 49048-1644 2006-09-20
1174540116 Connie L Van Es Nurse Practitioner 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048-1644 2006-07-16
1316994577 Premier Medical Care Psychiatry & Neurology 1541 Gull Rd, Suite 100, Kalamazoo, MI 49048-1639 2006-05-30
1396709523 Fayyaz Mahmood Psychiatry & Neurology 1541 Gull Rd, Suite 100, Kalamazoo, MI 49048-1639 2006-04-14
1033173794 Sugandhi Sridharan Psychiatry & Neurology 1541 Gull Rd, Suite 100, Kalamazoo, MI 49048-1639 2006-04-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790214146 Sally Leigh Weigandt Technician, Other 5438 Lucerne Ave, Kalamazoo, MI 49048 2017-06-08
1437606670 Amanda Ezekiel Advanced Practice Midwife 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 2016-09-06
1700238987 Brittany Bittenbender Technician, Other 5840 E Cork St, Kalamazoo, MI 49048 2016-07-12
1255747176 Araena Payton Early Intervention Provider Agency 1313 Hotop Ave, Kalamazoo, MI 49048 2014-07-11
1508297151 Hope Network Eastwood House Residential Treatment Facility, Physical Disabilities 2236 Brook Drive, Kalamazoo, MI 49048 2013-12-09
1457780314 Hope Network Rehabilitation Servicesq Residential Treatment Facility, Physical Disabilities 2236 Brooke Drive, Kalamazoo, MI 49048 2013-11-01
1467889576 Aaron Van Heest Social Worker 813 Chrysler St., Kalamazoo, MI 49048 2013-10-03
1760737308 Salem A. Salem Internal Medicine Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 2012-07-19
1356523229 Borgess Medical Center Psychiatry & Neurology 1521 Gull Road, Kalamazoo, MI 49048 2007-12-03
1629290135 Robert Claude Gano Dentist 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 2007-05-03
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275784589 Erin Elizabeth Henn Orthopaedic Surgery 601 John St Ste M-424, Kalamazoo, MI 49007-5354 2008-10-06
1396902904 J. Phillip Horwich M.d. PC Orthopaedic Surgery 336 S Kalamazoo Mall, Kalamazoo, MI 49007-4859 2008-05-21
1558305193 James D Gilbert Orthopaedic Surgery 2318 Gull Rd, Suite A-1, Kalamazoo, MI 49048-3619 2006-06-15
1235124280 William M Uggen Orthopaedic Surgery 2490 S 11th St, Suite 201, Kalamazoo, MI 49009-2175 2005-09-15
1013329390 Christopher Betzle Orthopaedic Surgery 601 John St Ste M-424, Kalamazoo, MI 49007-5354 2014-05-21
1750792446 Patrick Keating O'callaghan Orthopaedic Surgery 601 John St Ste M-206c, Kalamazoo, MI 49007-5359 2014-05-15
1659781938 Alexander Connaughton Orthopaedic Surgery 1000 Oakland Dr, Kalamazoo, MI 49008-1282 2014-05-07
1407135189 David Lee Mayor II Orthopaedic Surgery 2490 S 11th St, Kalamazoo, MI 49009-2175 2011-08-11
1841510773 Paul Joseph Danielsky Orthopaedic Surgery 1000 Oakland Dr, Kalamazoo, MI 49008-1282 2010-06-02
1821257957 James Robert Jastifer Orthopaedic Surgery 2490 S 11th St, Ste 201, Kalamazoo, MI 49009-2175 2008-06-04
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Competitor

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City KALAMAZOO
Zip Code 49048

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Dataset Information

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.

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