Organization Active NPI

Bruce Selden MD PA

  • Otolaryngology Physician
  • Coral Springs, FL
National Provider Identifier
1356451140
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME 24902 Issued in FL
Legal business name
BRUCE SELDEN MD PA
Practice address
2855 N University Dr
Suite 300
Coral Springs, FL 33065-1405
Phone
(954) 752-4377
Fax
(954) 752-7585
NPI assigned
Aug 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bruce Selden, MD
Title
President
Phone
(954) 752-4377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME 24902 FL Primary

Addresses

Primary practice location

2855 N University Dr
Suite 300
Coral Springs, FL 33065-1405

Mailing address

2855 N University Dr
Suite 300
Coral Springs, FL 33065-1405
Phone (954) 752-4377

Other identifiers 1

IdentifierTypeStateIssuer
26528300MedicaidFL

National Provider Directory

National Provider Directory

Locations

2855 N University Dr
Ste 300
Coral Springs, FL 33065
Phone (954) 317-0772

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356451140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 N UNIVERSITY DR",
            "address_2": "SUITE 300",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651405",
            "telephone_number": "954-752-4377",
            "fax_number": "954-752-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N UNIVERSITY DR",
            "address_2": "SUITE 300",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651405",
            "telephone_number": "954-752-4377",
            "fax_number": "954-752-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE SELDEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SELDEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-752-4377",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME 24902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26528300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.