Healthcare Provider Details

I. General information

NPI: 1992794887
Provider Name (Legal Business Name): DONALD BRUCE SUMMERS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPT. PSYCHIATRY, 67TH CSH UNIT 26610
APO AE
09244
US

IV. Provider business mailing address

SANDERRING 13
WUERZBURG BAVARIA
97070
DE

V. Phone/Fax

Practice location:
  • Phone: 3503651
  • Fax: 3503242
Mailing address:
  • Phone: 499-315-6941
  • Fax: 499-315-6947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number011403
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number011403
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: