Durell, Bruce R
Durell, Bruce R is an individual health care provider with primary practice located at 1205 Hadley Rd Ste 130 , Mooresville IN 46158-1934. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Durell, Bruce R can be contacted via phone (317) 831-9340.Contact Information
Primary practice address
1205 Hadley Rd Ste 130
Mooresville IN 46158-1934
Phone: (317) 831-9340
Fax: (317) 834-5768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01035248 | Indiana |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 01035248A | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01035248A | Indiana |
Profile Details
| NPI number | 1427092212 |
|---|---|
| LBN Legal business name | Durell, Bruce R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jun 5th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427092212 | NPPES |
| Indiana | MEDICAID | 200103280 |
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