Active NPI
Bruce Waxman, M.D.
- Orthopaedic Surgery Physician
- Palm Beach Gardens, FL
National Provider Identifier
1790706232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME0028598
- Practice address
- 4398 Hickory Dr
Palm Beach Gardens, FL 33418-3906 - Phone
- (561) 312-7004
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME0028598 | FL | Primary |
Addresses
Primary practice location
4398 Hickory Dr
Palm Beach Gardens, FL 33418-3906
Mailing address
4398 Hickory Dr
Palm Beach Gardens, FL 33418-3906
Phone (561) 312-7004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 057908400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0028598 | FL | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1790706232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4398 HICKORY DR",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334183906",
"telephone_number": "561-312-7004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4398 HICKORY DR",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334183906",
"telephone_number": "561-312-7004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAXMAN",
"first_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME0028598",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "057908400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.