Bruce W Phillips MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0050838 Issued in FL

Legal business name

BRUCE W PHILLIPS MD PA

Practice address

3651 Fau Blvd
Suite 100
Boca Raton, FL 33431-6489

Phone

(561) 347-8001

Fax

(561) 347-8015

NPI assigned

Apr 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bruce W Phillips, MD

Title

President

Phone

(561) 347-8001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659493542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 NW 22ND AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334963478",
            "telephone_number": "561-347-8001",
            "fax_number": "561-347-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 FAU BLVD",
            "address_2": "SUITE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316489",
            "telephone_number": "561-347-8001",
            "fax_number": "561-347-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE W PHILLIPS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-347-8001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0050838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BRRH Medical Group, LLC
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• Bruce M Fischer DC PA
• Bruce Wishnov DO PA
• Benjamin Bruce
• Aimee C Brueck, MPT
• Christina Brumer
• Alice W Brumley, DNP

• Specialist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Specialist in Florida

• 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.

Verify at the official NPI Registry.