Bruce Malcom Lidston, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

MD016074E Issued in PA

Practice address

1227 Warm Springs Ave
J.C. Blair Physician'S Building #301
Huntingdon, PA 16652-2300

Phone

(814) 643-0531

Fax

(814) 643-6637

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407894173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7297 LOVELAND DR",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166524562",
            "telephone_number": "814-643-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 WARM SPRINGS AVE",
            "address_2": "J.C. BLAIR PHYSICIAN'S BUILDING #301",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522300",
            "telephone_number": "814-643-0531",
            "fax_number": "814-643-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDSTON",
        "first_name": "BRUCE",
        "middle_name": "MALCOM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PA",
            "license": "MD016074E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000676816/0004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin K Lee, M.D.
• Lauren A Leonard, DPT
• Michael A Lettieri, M.D.
• John C Leytham, PT
• LHM Physical Therapy Institute LLC
• Tracy A Lillie, M.D.
• Carrie Long
• Christian Michael Long, DMD
• Ronald A Long, M.D.
• Jennifer Lynch, RN

• Pediatric Adolescent Medicine Physician in Huntingdon, PA
• Providers in Huntingdon, PA by specialty
• Pediatric Adolescent Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.