Organization Active NPI

Bruce M Schlecter, M.D. Professional Corporation

  • Specialist
  • Glendale, CA
National Provider Identifier
1972893493
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G31391 Issued in CA
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

Updated by the provider on Apr 20, 2011

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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. Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.