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NPI Code Detail

MEDICARE: DR. BRUCE SILVER MD

MEDICARE: DR. BRUCE SILVER MD
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
1207RG0300XGeriatric Medicine (Internal Medicine) PhysicianG127838CA
2207R00000XInternal Medicine PhysicianG127838CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1232359401OTHERPAMAIN LINE HEALTHCARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679545743
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRUCE SILVER MD
Provider Business Mailing Address
First Line : 1510 4TH ST 1
Second Line :
City : BERKELEY
State : CA
Zip : 94710-1717
Country : US
Telephone Number : 510-525-8980
Fax Number : 510-525-8982
Provider Business Practice Location Address
First Line : 1510 4TH ST 1
Second Line :
City : BERKELEY
State : CA
Zip : 94710-1717
Country : US
Telephone Number : 510-525-8980
Fax Number : 510-525-8982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 04/21/2016

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Directions to “ DR. BRUCE SILVER MD” Practice Location

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