Healthcare Provider Details

I. General information

NPI: 1598826976
Provider Name (Legal Business Name): DANIEL BRUCE CUMMINGS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 MARKET ST
YOUNGSTOWN OH
44512-6725
US

IV. Provider business mailing address

8401 MARKET ST
YOUNGSTOWN OH
44512-6725
US

V. Phone/Fax

Practice location:
  • Phone: 330-480-2860
  • Fax:
Mailing address:
  • Phone: 330-480-2860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License Number35156166
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD435338
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberC1-0009428
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: