DR. BRUCE W. PHILLIPS (NPI# 1912904905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912904905 |
| Entity Type | Individual |
| Full Name | DR. BRUCE W. PHILLIPS |
| Credential | M.D. |
| Practice Address |
9960 Central Park Blvd N Suite 100 Boca Raton FL 33428-1759 |
| Practice Telephone | 5612264180 |
| Practice Fax Number | 5612264199 |
| Mailing Telephone | 5612264180 |
| Mailing Fax Number | 5612264199 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2016-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME 50838 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS OF FL | 03999 | 01 |
| NY | EMPIRE BCBS | 052EV2 | 01 |
| FL | DIMENSION HEALTH | 05717 | 01 |
| FL | AETNA | 5402697 | 01 |
| FL | 046524100 | 05 | |
| FL | RR MEDICARE | P01318677 | 01 |
| FL | WELLCARE | 1029466 | 01 |
| FL | AVMED | 204369 | 01 |
| FL | FLORIDA HEALTHCARE PLUS | P0003198 | 01 |
| FL | FREEDOM HEALTH | P01269 | 01 |
| NY | EMPIRE BCBS | 052EV1 | 01 |
| FL | CIGNA | 0544936 | 01 |
| FL | OPTIMUM | P510999 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952491938 | Bruce A Phillips | Chiropractor | 2200 North State Street, North Vernon, IN 47265-0892 | 2006-10-13 |
| 1710240510 | Bruce Phillips | Student in an Organized Health Care Education/Training Program | 2225 N Charles St, Baltimore, MD 21218-5778 | 2012-06-18 |
| 1922121748 | Bruce Phillips | Family Medicine | 8201 Preston Rd, Suite 560, Dallas, TX 75225-6203 | 2007-04-08 |
| 1437161973 | Bruce A. Phillips | Family Medicine | 60 Messenger St, Plainville, MA 02762-2258 | 2006-08-13 |
| Street Address |
9960 CENTRAL PARK BLVD N SUITE 100 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33428-1759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113049 | Soflo Psychiatric Services LLC | Nurse Practitioner | 9960 Central Park Blvd N, Boca Raton, FL 33428-1759 | 2019-09-17 |
| 1558825463 | Alien R Perez Sr. | Nurse Practitioner | 9960 Central Park Blvd N, Boca Raton, FL 33428-1759 | 2019-01-24 |
| 1073979274 | Lezlie Ludwig Brezin | Social Worker | 9960 Central Park Blvd N, Boca Raton, FL 33428-1759 | 2016-01-05 |
| 1376843565 | Angela Beth Rohrbaugh | Nurse Practitioner | 9960 Central Park Blvd N, Suite 450, Boca Raton, FL 33428-1759 | 2010-10-22 |
| 1598902033 | Cancer Treatment Services Florida LLC | Clinic/Center | 9960 Central Park Blvd N, Suite 100, Boca Raton, FL 33428-1759 | 2009-01-20 |
| 1053566679 | Michelle Beth Sukenik | Counselor | 9960 Central Park Blvd N, Suite 235, Boca Raton, FL 33428-1759 | 2008-11-24 |
| 1316190507 | Sonia Micaela Gibson | Internal Medicine | 9960 Central Park Blvd N, Suite 150a, Boca Raton, FL 33428-1759 | 2008-10-31 |
| 1205013620 | Kahlil A Shillingford Md Pa | Surgery | 9960 Central Park Blvd N, Suite 235, Boca Raton, FL 33428-1759 | 2008-01-28 |
| 1205058047 | Sol Virginia Guerrero | Internal Medicine | 9960 Central Park Blvd N, Suite 150, Boca Raton, FL 33428-1759 | 2007-05-02 |
| 1306936745 | Priti M Kothari | Psychiatry & Neurology | 9960 Central Park Blvd N, Ste. 235, Boca Raton, FL 33428-1759 | 2006-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
| 1447740840 | Wilzade Joseph | Assisted Living Facility | 22319 Sw 65th Ave, Boca Raton, FL 33428 | 2018-05-11 |
| 1477065316 | Pamela Manning | Nurse Practitioner | 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 | 2017-11-01 |
| 1912428624 | Carole Mandat | Assistant Behavior Analyst | 11083 Baybreeze Way, Boca Raton, FL 33428 | 2017-07-03 |
| 1679025571 | Tam Thu Tran | Physician Assistant | 22864 Neptune Road, Boca Raton, FL 33428 | 2016-10-27 |
| 1922458355 | Zurab Akakievich Iosava | Specialist/Technologist, Other | 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 | 2016-06-16 |
| 1497125280 | Robert Jay Drimmer | Internal Medicine | 21357 Bridgeview Drive, Boca Raton, FL 33428 | 2015-10-06 |
| 1710391966 | Pathway 2 Recovery Gold Coast | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 | 2014-06-16 |
| 1134564727 | Mary Margaret Spitzer | Nurse Practitioner | 9980 Central Park Blvdn, Boca Ration, FL 33428 | 2013-05-08 |
| 1619312816 | Alan Wasserman | Dentist | 22053 S.r. 7, Boca Raton, FL 33428 | 2013-05-02 |
| Find all providers in zip 33428 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982830782 | Gregg Harrison Goldin | Radiology | 701 Nw 13th St Dept Of, Boca Raton, FL 33486 | 2009-06-08 |
| 1164425237 | Vinay Sharma | Radiology | 21020 State Road 7, Boca Raton, FL 33428-1320 | 2005-05-23 |
| 1457617326 | Samuel Michael Richter | Radiology | 701 Nw 13th St, Boca Raton, FL 33486-2305 | 2012-04-05 |
| 1962458281 | Michael E. Kasper | Radiology | 800 Meadows Rd, Boca Raton, FL 33486-2304 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539079 | Mydoctoreb LLC | Radiology | 17407 Lotino Pl, Lutz, FL 33548-4815 | 2020-08-20 |
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1962970111 | William A Assad, M.d. | Radiology | 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 | 2018-11-06 |
| 1508361361 | Marian Ingram | Radiology | 350 Nw 84th Ave Ste 102, Plantation, FL 33324-1820 | 2018-03-26 |
| 1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
| 1417492497 | Flagler Hospital, Inc. | Radiology | 97 Health Park Blvd, Saint Augustine, FL 32086-5777 | 2016-12-29 |
| 1447614441 | Benjamin Spieler | Radiology | 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 | 2016-04-06 |
| 1629461371 | Florida Oncology Tavares, LLC | Radiology | 2010 Nightingale Ln, Tavares, FL 32778-4361 | 2015-03-05 |
| 1285042036 | Gulf Region Radiation Oncology Centers | Radiology | 1545 Airport Blvd Ste 1000, Pensacola, FL 32504-8615 | 2014-07-24 |
| 1962812917 | Florida Oncology Partners LLC | Radiology | 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 | 2014-04-29 |
| Find all providers with the same taxonomy | ||||
| City | BOCA RATON |
| Zip Code | 33428 |
Please comment or provide details below to improve the information on DR. BRUCE W. PHILLIPS.
| 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.