MEDICARE: BRUCE STEVEN SHAPIRO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VE0102X	Reproductive Endocrinology Physician	5710	NV

General Provider Information

NPI Number	:	1194871186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRUCE STEVEN SHAPIRO M.D.

Provider Business Mailing Address
First Line	:	8851 W SAHARA AVE
Second Line	:	STE # 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5890
Country	:	US
Telephone Number	:	702-254-1777
Fax Number	:	702-228-2678

Provider Business Practice Location Address
First Line	:	8851 W SAHARA AVE
Second Line	:	STE # 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5890
Country	:	US
Telephone Number	:	702-254-1777
Fax Number	:	702-228-2678

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	12/05/2007

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