Bruce S. West, Md
LBN: Bruce S. West
Bruce S. West, Md is an health care organization with primary practice located at 1340 S 18Th St Ste. 203, Fernandina Beach FL 32034-4799. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Bruce S. West can be contacted via phone (904) 261-7707, or through West, Bruce S via phone (904) 261-7707.
Contact Information
Primary practice address
1340 S 18Th St Ste. 203
Fernandina Beach FL 32034-4799
Phone: (904) 261-7707
Fax: (904) 261-8616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Health Service | 261QH0100X | 0101042844 | Virginia |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ME99878 | Florida |
Profile Details
| NPI number | 1477761625 |
|---|---|
| LBN Legal business name | Bruce S. West |
| DBA Doing business as | Bruce S. West, Md |
| Authorized official | West, Bruce S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 20th, 2007 |
| Last updated | Aug 17th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477761625 | NPPES |
| Virginia | MEDICAID | 006734952 | |
| Virginia | MEDICAID | 113328677A | |
| Virginia | MEDICAID | 280146900 |
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