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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | 4301042369 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 4716750 | 05 |
Street Address |
1541 GULL RD SUITE 200 |
City | KALAMAZOO |
State | MI |
Zip Code | 49048-1639 |
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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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 |
Find all providers in zip 49048 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
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. |
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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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.