Bruce a Hartwig MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0039317 Issued in FL

Legal business name

BRUCE A HARTWIG MD PA

Practice address

3 Shircliff Way
Suite 752
Jacksonville, FL 32204-4730

Phone

(904) 389-6226

Fax

(904) 388-7265

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Allan Hartwig, MDNPI 1619974946

Title

President/Physician

Phone

(904) 389-6226

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Allan Hartwig, MD

  • Neurology Physician
  • Jacksonville, FL
  • NPI 1619974946
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1033366273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SHIRCLIFF WAY",
            "address_2": "SUITE 752",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044730",
            "telephone_number": "904-389-6226",
            "fax_number": "904-388-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHIRCLIFF WAY",
            "address_2": "SUITE 752",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044730",
            "telephone_number": "904-389-6226",
            "fax_number": "904-388-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE A HARTWIG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "HARTWIG",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "904-389-6226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0039317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130000461",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "210440",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "623807",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "040188",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "43727",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Browning
• Lindsey Brownson
• Bryan K Brozy, PT, DPT
• Craig Brubaker, PHARMD
• Jeremy E Brubaker, D.C.
• Bruce R Maddern MD PA
• Alison Bruce, MBCHB
• Barbara Bruce, PHD
• Charles Bruce, MD
• Robin Dee Bruce, MS, CCC-SLP

• Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.