Bruce Patrick Middleton, BSN

Primary specialty

Perioperative Clinical Nurse SpecialistTaxonomy code 364SP2800X

License

1181877 Issued in KY

Practice address

1413 Cedarbrook Rd
Goshen, KY 40026

Phone

(616) 410-0472

NPI assigned

Nov 6, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1598538985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 CEDARBROOK RD",
            "city": "GOSHEN",
            "state": "KY",
            "postal_code": "40026",
            "telephone_number": "616-410-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 CEDARBROOK RD",
            "city": "GOSHEN",
            "state": "KY",
            "postal_code": "40026",
            "telephone_number": "616-410-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "BRUCE",
        "middle_name": "PATRICK",
        "credential": "BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP2800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Perioperative",
            "state": "MI",
            "license": "4704361672",
            "primary": false
        },
        {
            "code": "364SP2800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Perioperative",
            "state": "KY",
            "license": "1181877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forward Motion Inc
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• Susan D Hancock, PT
• Cicily Renee McBride, OTD, OTR/L
• Joseph Lee Mitchell, M.D.
• Darcy Lynn Mooring, LCSW
• Colleen Frances Murphy, MS OTR
• Rocco G Patella, DMD
• Ann G Perkins, C.C.C. - SLP

• All providers in Goshen, KY
• Perioperative Clinical Nurse Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.