Healthcare Provider Details

I. General information

NPI: 1033158696
Provider Name (Legal Business Name): BRUCE JONATHAN SILVERBERG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1074 SPRUCE COURT
DENVER CO
80230-7008
US

IV. Provider business mailing address

1074 SPRUCE COURT
DENVER CO
80230-7008
US

V. Phone/Fax

Practice location:
  • Phone: 610-402-3110
  • Fax:
Mailing address:
  • Phone: 610-737-6820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberDRP.0000867
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD015861E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: