Bruce Vischer Macfadyen Jr., M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

051251 Issued in GA

Practice address

Department of Surgery, Bi 4076
Medical Coll of Georgia, 1102 15TH Street
Augusta, GA 30912

Phone

(706) 721-4651

Fax

(706) 721-2063

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Au Medical Associates Inc

  • Multi-Specialty Clinic/Center
  • Augusta, GA
  • NPI 1841230620
  NPD

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295841195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 MONTPELIER DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093226",
            "telephone_number": "706-729-1700",
            "fax_number": "706-721-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF SURGERY, BI 4076",
            "address_2": "MEDICAL COLL OF GEORGIA, 1102 15TH STREET",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30912",
            "telephone_number": "706-721-4651",
            "fax_number": "706-721-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACFADYEN",
        "first_name": "BRUCE",
        "middle_name": "VISCHER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "051251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00942983A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul A. Mabe III, PHD
• Erika Simmerman Mabes, D.O.
• Judith Thompson Macdonell, PHARMACIST
• Frankye Michele Mace, M.A., CCC-A
• Darcy A. Maceachern, CCC-SLP
• Michael Scott Macfee, M.D.
• Maria Carolina Cunha Pinheiro Machado
• Rodolfo Rozindo Machado, M.D.
• Ashley Machan
• Edward Machen, MD

• Surgery Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.