Meyer, Bruce D

Meyer, Bruce D is an individual health care provider with primary practice located at 1996 N D St , San Bernardino CA 92405-3912. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Meyer, Bruce D can be contacted via phone (909) 883-7777.

Contact Information

Primary practice address
1996 N D St San Bernardino CA 92405-3912
Phone: (909) 883-7777
Fax: (909) 883-7773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G48366 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G48366 California

Profile Details

NPI number 1629018817
LBN Legal business name Meyer, Bruce D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated May 13th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629018817 NPPES
California MEDICAID 00G483661

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