BRUCE ROGER GENDRON (NPI# 1548268071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548268071 |
| Entity Type | Individual |
| Full Name | BRUCE ROGER GENDRON |
| Credential | MD |
| Practice Address |
45 Reade Pl Vassar Brothers Medical Center Poughkeepsie NY 12601-3947 |
| Mailing Address |
2678 South Rd Ste 202 Poughkeepsie NY 12601-5254 |
| Practice Telephone | 8454544700 |
| Practice Fax Number | 8454544982 |
| Mailing Telephone | 8457905700 |
| Mailing Fax Number | 8457905719 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2018-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
234653-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02621850 | 05 |
| Street Address |
45 READE PL VASSAR BROTHERS MEDICAL CENTER |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-3947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448185 | Vlad Frenk | Anesthesiology | 45 Reade Pl, Poughkeepsie, NY 12601 | 2005-06-27 |
| 1427664184 | Alley Nicole O'farrell | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-09-18 |
| 1215556279 | Katherine Paola Acosta | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-10 |
| 1891314852 | Nahal G Nikroo | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-10 |
| 1275162463 | Andrew John Kehrer | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-08 |
| 1831728237 | Jennifer Lackaye | Registered Nurse | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-07 |
| 1427687995 | Jeffrey David Crawford | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-06 |
| 1598394231 | Joseph Jose Kuruvilla | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-04 |
| 1285263061 | Laryssa Do Ouro-rodrigues | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-03 |
| 1770112807 | Jude Igboanusi | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490034 | Hudson Valley Radiologists, PC | Radiology | 33 Bridgewater Way, Poughkeepsie, NY 12601-5961 | 2020-09-03 |
| 1730702986 | Hudson Valley Radiologists, PC | Radiology | 17 Argent Dr, Poughkeepsie, NY 12603-6040 | 2020-05-22 |
| 1831712082 | Hudson Valley Radiologists, PC | Radiology | 23 Sommerset Rd, Poughkeepsie, NY 12603 | 2020-05-22 |
| 1124641378 | Hudson Valley Radiologists, PC | Radiology | 49 Evergreen Ave, Poughkeepsie, NY 12601-5206 | 2020-05-22 |
| 1740803998 | Hudson Valley Radiologists, PC | Radiology | 36 Pine St Apt 229, Poughkeepsie, NY 12601-3974 | 2020-05-22 |
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1073136438 | Hudson Valley Radiologists, PC | Radiology | 60 Michaels Ln, Poughkeepsie, NY 12603-6352 | 2020-05-20 |
| 1326520859 | Hudson Valley Radiologists, PC | Radiology | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | 2018-08-31 |
| 1164910246 | Hudson Valley Radiologists, PC | Radiology | 27 Timberline Dr, Poughkeepsie, NY 12603-5532 | 2018-04-25 |
| 1972820660 | Krishna Kumar Das | Radiology | 1 Columbia St Fl 1, Poughkeepsie, NY 12601-3924 | 2010-04-21 |
| Find all providers in POUGHKEEPSIE | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
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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.