Bruce J. Sabin MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

031113 Issued in GA

Legal business name

BRUCE J. SABIN MD, PC

Practice address

1790 Presidential Cir
Suite C
Snellville, GA 30078-5688

Phone

(770) 979-8022

Fax

(770) 979-1098

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Jan Ovesen

Title

Office Manager

Phone

(770) 979-8022

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1265592737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 PRESIDENTIAL CIR",
            "address_2": "SUITE C",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785688",
            "telephone_number": "770-979-8022",
            "fax_number": "770-979-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 PRESIDENTIAL CIR",
            "address_2": "SUITE C",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785688",
            "telephone_number": "770-979-8022",
            "fax_number": "770-979-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE J. SABIN MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "OVESEN",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-979-8022"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "031113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "130229",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110241661",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanner Brown, PT, DPT
• Toiquita Yvette Brown, FNP-C
• Anita Browne, PHARM D
• Zicole Browne, DO
• Bruce J Sabin MD PC (Bruce J Sabin MD)
• Shawanna Brun, ARNP-BC
• David Bryan, MD
• Donna Bryan, RBT
• Natalya Esther Bryant, LCSW
• Bstsa Inc Dba Spectrum Therapy Center (Spectrum Therapy Center)

• Internal Medicine Physician in Snellville, GA
• Providers in Snellville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.