Bruce S. West

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME99878 Issued in FL

Legal business name

BRUCE S. WEST

Practice address

1340 S 18TH St
Ste. 203
Fernandina Beach, FL 32034-4799

Phone

(904) 261-7707

Fax

(904) 261-8616

NPI assigned

May 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bruce S West, M.D.NPI 1588632780

Title

Owner

Phone

(904) 261-7707

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Bruce S. West, MD Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Stewart West, M.D.

  • Pediatrics Physician
  • Fernandina Beach, FL
  • NPI 1588632780
  Authorized official Same address or phone

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1477761625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 S 18TH ST",
            "address_2": "STE. 203",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344799",
            "telephone_number": "904-261-7707",
            "fax_number": "904-261-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 S 18TH ST",
            "address_2": "STE. 203",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344799",
            "telephone_number": "904-261-7707",
            "fax_number": "904-261-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE S. WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-261-7707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "VA",
            "license": "0101042844",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME99878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006734952",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113328677A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280146900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruce S. West, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robin Briggs, PAC
• Bright Smiles Pediatric Dentistry Nassau LLC (Bright Smiles Pediatric Dentistry)
• Broad River Rehabilitation (Broad River Rehab)
• Charlesetta Nicole Brown, APRN
• Mark A Brown, DC
• Jessica Anne Bruland, APRN
• George Brummer
• David J Bryant, PA-C
• Amy Bui
• Bundle of Joy Birth & Wellness Center

• Primary Care Clinic/Center in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.