Bruce M. Bilder, M.D.
Individual provider Active NPI Emergency Medicine Physician · San Carlos, AZ
NPI 1306955596 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1306955596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- MD018668E (PA)
- Practice address
- 223 Cibeque Circle Road
San Carlos, AZ 85550 - Phone
- (928) 475-7219
- Fax
- (928) 475-7370
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD018668E | PA | MD | Emergency Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD018668E | PA | Yes |
Addresses
Primary practice location
223 Cibeque Circle Road
San Carlos, AZ 85550
Mailing address
PO Box 208
San Carlos, AZ 85550-0208
Phone (928) 475-7219
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 811639 | Medicaid | AZ |
Other providers in San Carlos, AZ
- Sally A Aday
- Kelly J Archambeau
- Noah Argual
- Tara Lynn Argual
- Douglas E Brinkerhoff
- Polly Y Browning
- Melinda Rose Cain
- Wen-Te Ted Chen
- Linda C Clark
All providers in San Carlos, AZ · Emergency Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.