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NPI Code Detail

MEDICARE: DR. SUZANNE M. MCBRIDE MD

MEDICARE: DR. SUZANNE M. MCBRIDE 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
1207Q00000XFamily Medicine Physician26551AL
2207Q00000XFamily Medicine PhysicianME142844FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881682144
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUZANNE M. MCBRIDE MD
Provider Business Mailing Address
First Line : 2315 W JACKSON ST
Second Line :
City : PENSACOLA
State : FL
Zip : 32505-7552
Country : US
Telephone Number : 850-436-4630
Fax Number :
Provider Business Practice Location Address
First Line : 2315 W JACKSON ST
Second Line :
City : PENSACOLA
State : FL
Zip : 32505-7552
Country : US
Telephone Number : 850-436-4630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 05/27/2021

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Directions to “ DR. SUZANNE M. MCBRIDE MD” Practice Location

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