Active NPI
Bruce Selden MD PA
- Otolaryngology Physician
- Coral Springs, FL
National Provider Identifier
1356451140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME 24902
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26528300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.