DR. ROBERT BRUCE (NPI# 1710449475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710449475 |
| Entity Type | Individual |
| Full Name | DR. ROBERT BRUCE |
| Credential | MD |
| Practice Address |
501 Redmond Rd Nw Rome GA 30165-1415 |
| Practice Telephone | 7068023063 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588135040 | Robert Ernest Bruce Jr. | Social Worker | 2081 Drummond Dr, Xenia, OH 45385-4023 | 2018-12-10 |
| 1134462138 | Robert Douglas Bruce IIi | Internal Medicine | San Antonio Military Medical Center, Mche-zdm-p, PCcm, 3551 Roger Brooke Drive, Jbsa-fort Sam Houston, TX 78234-4504 | 2013-03-28 |
| 1881605269 | Robert Donald Bruce | Dentist | 801 River Dr, Fort Bragg, CA 95437 | 2006-08-10 |
| 1295711091 | Robert Norwood Bruce | Otolaryngology | Cmr 402 Box 100, Lrmc, Apo, AE 09180-0100 | 2005-12-22 |
| 1831350206 | Robert Andrew Bruce | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, Mobile, AL 36617-2238 | 2008-06-19 |
| 1205965738 | Robert M Bruce | Internal Medicine | 4921 Parkview Pl, Suite 14e, Saint Louis, MO 63110-1032 | 2007-03-02 |
| 1659414076 | Robert Bruce | Internal Medicine | 400 Columbus Ave, New Haven, CT 06519-1233 | 2007-02-15 |
| 1972605681 | Robert W Bruce Jr. | Orthopaedic Surgery | 59 Executive Park South Ne, Suite 2092, Atlanta, GA 30329-2208 | 2006-09-02 |
| 1427064401 | Robert L Bruce | Physical Medicine & Rehabilitation | 909 N Washington Ave, Dallas, TX 75246-1520 | 2006-07-31 |
| 1407877970 | Robert Raymond Bruce | Urology | 10901 E 48th St, Tulsa, OK 74146-5830 | 2006-07-21 |
| Street Address |
501 REDMOND RD NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174571541 | Hitesh Keshavbhai Patel | Internal Medicine | 501 Redmond Rd Nw, 6th Floor, Rome, GA 30165-1415 | 2006-05-05 |
| 1124636527 | Alan Phrommala | Physician Assistant | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-07-21 |
| 1750908927 | Cassidy Davis | Radiologic Technologist | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-07-02 |
| 1003445495 | Brice Peter Bowerman | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-07 |
| 1669001970 | Erica Laine Venable | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-07 |
| 1427687847 | Sebastian Hawkins | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-07 |
| 1205465713 | Clifford Wayne Gordon Jr. | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-06 |
| 1861021370 | Robert Novak | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-06 |
| 1336778976 | John Edward Whalen Jr. | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-06 |
| 1942839568 | Carson Womack | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1659877579 | Jessica Judith White | Student in an Organized Health Care Education/Training Program | 101 Lovell Ln Sw, Rome, GA 30165-3631 | 2018-03-30 |
| 1497370506 | Nathan Henry | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-15 |
| 1124643291 | Gokhan Emre Taskale | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-14 |
| 1962027037 | Adriana Delmonico | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-14 |
| 1568087708 | Nzota Pelagie Nsona Koyagialo | Student in an Organized Health Care Education/Training Program | 304 Shorter Ave Nw Ste 201, Rome, GA 30165-4256 | 2020-06-13 |
| 1295350494 | Edward Lawson Held | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-12 |
| 1740805951 | Yassmin Shariff | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-12 |
| 1982229175 | Gregory Rusiecki | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-12 |
| 1932738127 | Anand Marangattu Parameswaran | Student in an Organized Health Care Education/Training Program | 501 Redmond Road, Rome, GA 30165 | 2020-04-08 |
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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.