Bruce R Stevens MD SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

34578 Issued in WI

Legal business name

BRUCE R STEVENS MD SC

Practice address

1601 E Blackthorne PL
Milwaukee, WI 53211-1139

Phone

(414) 967-4930

Fax

(414) 967-5730

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Bruce Robert Stevens, MDNPI 1003870379

Title

Psychiatrist

Phone

(414) 967-4930

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Bruce Robert Stevens, MD

  • Psychiatry Physician
  • Richmond, VA
  • NPI 1003870379
  NPD (past) Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801958020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E BLACKTHORNE PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532111139",
            "telephone_number": "414-967-4930",
            "fax_number": "414-967-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E BLACKTHORNE PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532111139",
            "telephone_number": "414-967-4930",
            "fax_number": "414-967-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE R STEVENS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "414-967-4930",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "34578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31971700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghen B Browning, MD
• Browns Transportation LLC
• Jacqueline Tulod Brownson, NP-C
• Erika Lynn Broxton
• Dana Diane Broyles, APNP
• Carleigh Nicole Bruce, MD
• Elizabeth Bruce, PA-C
• Stephanie Bruce, MS, RN, APNP, ACNS-B
• Kathlene Bruch-Nenn, RDH
• Robert Bruch

• Psychiatry Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Psychiatry Physician in Wisconsin

• 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.