Pulmonary Diagnostic & Therapeutic Services PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

PULMONARY DIAGNOSTIC & THERAPEUTIC SERVICES PC

Practice address

2120 Madison Avenue
Suite 205
Granite City, IL 62040-4747

Phone

(618) 877-8443

Fax

(618) 452-3288

NPI assigned

Jun 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert M Bruce, MD

Title

President

Phone

(618) 877-8443

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1013955467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 MADISON AVENUE",
            "address_2": "SUITE 205",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404747",
            "telephone_number": "618-877-8443",
            "fax_number": "618-452-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 MADISON AVENUE",
            "address_2": "SUITE 205",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404747",
            "telephone_number": "618-877-8443",
            "fax_number": "618-452-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY DIAGNOSTIC & THERAPEUTIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-877-8443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Roan Porter, PTA
• Donna Kay Porterfield, D.M.D.
• David L Priebe, M.D.
• Professional Radiologic Imaging LTD
• Project Ceap PLLC
• Danielle Aliss Rahman, PHARMD
• Kelsey Rahmoeller, DC
• Jamil Rana, MD
• Ray Medical Supply LLC
• Bridget Ray, FNP-C

• Pulmonary Disease Physician in Granite City, IL
• Providers in Granite City, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.