Bruce J Wandler, MD PS

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00015369 Issued in WA

Legal business name

BRUCE J WANDLER, MD PS

Practice address

202 N Division St
Auburn, WA 98001-4939

Phone

(253) 833-7711

NPI assigned

Nov 5, 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 J Wandler, MDNPI 1639114044

Title

Provider/Owner

Phone

(253) 588-7911

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce J Wandler, MD

  • Surgery Physician
  • Auburn, WA
  • NPI 1639114044
  NPD (past) Authorized official

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1497935654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N DIVISION ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980014939",
            "telephone_number": "253-833-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N DIVISION ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980014939",
            "telephone_number": "253-833-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE J WANDLER, MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "WANDLER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "253-588-7911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00015369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1123330",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosalene Vivian Brown, MA60739445
• Tarleton Dimaggio Brown, AA, AAC
• Nicole Camille Browne, MHT, RC
• Sarah Marie Brownson-Vermeer
• Katherine Grace Brubaker, HCA
• Bruce R. Molen, DDS
• Cathleen Brune
• Jarrett Evan Bruno, DO
• Linda L Buchanan
• Whitney Michelle Buckles

• Specialist in Auburn, WA
• Providers in Auburn, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.