NPI Code Detail JSON Logo

1285835926 NPI number — BRUCE J CHEN M.D.

NPI Number: 1285835926
Health Care Provider/Practitioner: BRUCE J CHEN M.D.

Information about “1285835926” NPI (BRUCE J CHEN M.D.) exists in 1285835926 in HTML format HTML  |  1285835926 in plain Text format TXT  |  1285835926 in PDF (Portable Document Format) PDF  |  1285835926 in an XML format XML  formats.

NPI Number : 1285835926 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285835926",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHEN",
    "FirstName": "BRUCE",
    "MiddleName": "J",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2410 ROUND ROCK AVE STE 110",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROUND ROCK",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78681-4019",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-814-3695",
    "MailingAddressFaxNumber": "512-314-7147",
    "FirstLinePracticeLocationAddress": "4437 STATE ROUTE 159 STE 125",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHILLICOTHEE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45601-7065",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "740-779-4570",
    "PracticeLocationAddressFaxNumber": "740-779-4579",
    "EnumerationDate": "05/30/2007",
    "LastUpdateDate": "01/04/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207P00000X",
          "TaxonomyName": "Emergency Medicine Physician",
          "LicenseNumber": "FC2380171",
          "LicenseNumberStateCode": "WV",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "23191",
          "LicenseNumberStateCode": "WV",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RI0011X",
          "TaxonomyName": "Interventional Cardiology Physician",
          "LicenseNumber": "35.121677",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RI0011X",
          "TaxonomyName": "Interventional Cardiology Physician",
          "LicenseNumber": "S0145",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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