Active NPI
Bruce M Schlecter, M.D. Professional Corporation
- Specialist
- Glendale, CA
National Provider Identifier
1972893493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G31391
- Legal business name
- BRUCE M SCHLECTER, M.D. PROFESSIONAL CORPORATION
- Practice address
- 1809 Verdugo Blvd Ste 210
Glendale, CA 91208-1402 - Phone
- (818) 790-8511
- Fax
- (818) 790-8513
- NPI assigned
- Apr 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce Michael Schlecter
- Title
- Owner
- Phone
- (818) 790-8511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G31391 | CA | Primary |
Addresses
Primary practice location
1809 Verdugo Blvd Ste 210
Glendale, CA 91208-1402
Mailing address
1809 Verdugo Blvd Ste 210
Glendale, CA 91208-1402
Phone (818) 790-8511
Other names 1
- Bruce M Schlecter, M.D.
National Provider Directory
National Provider DirectoryLocations
1809 Verdugo Blvd
Ste 210
Glendale, CA 91208
Phone (818) 495-7021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303257600000",
"number": "1972893493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 VERDUGO BLVD STE 210",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081402",
"telephone_number": "818-790-8511",
"fax_number": "818-790-8513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 VERDUGO BLVD STE 210",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081402",
"telephone_number": "818-790-8511",
"fax_number": "818-790-8513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUCE M SCHLECTER, M.D. PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-18",
"last_updated": "2011-04-20",
"status": "A",
"authorized_official_last_name": "SCHLECTER",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-790-8511",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G31391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bruce M Schlecter, M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.