Active NPIIndividual provider

Bruce J Simon, MD

Surgery, Surgical Critical Care in Worcester, Massachusetts

NPI Number1164420634
Practice location
55 Lake Ave N, Department Of Surgery/Trauma/Critical Care, Worcester, MA 01655-0002
Fax
508-856-4224
Last updated
November 19, 2024

Bruce J Simon is a Surgery, Surgical Critical Care based in Worcester, MA. Bruce J Simon practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Bruce J Simon is 1164420634 and holds a License No. 76579 (MA). The current practice location address for Bruce J Simon is 55 Lake Ave N, Department Of Surgery/Trauma/Critical Care, Worcester, MA 01655-0002 and can be reached out via phone at 508-856-5288 and via fax at 508-856-4224.

Provider Profile Details

NPI Number
1164420634
Provider Name
Bruce J Simon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Department Of Surgery/Trauma/Critical Care, Worcester, MA 01655-0002
Phone Number
508-856-5288
Fax Number
508-856-4224
Primary Taxonomy
Surgery, Surgical Critical Care · 2086S0102X
Sole Proprietor
No
Provider Enumeration Date
July 8, 2005
Last Update Date
November 19, 2024
Certification Date
November 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Department Of Surgery/Trauma/Critical Care
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
508-856-5288
Fax Number
508-856-4224
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
10 Niblick RD
Shrewsbury, MA 01545-7724
City
Shrewsbury
State
MA
Zip
01545-7724

License Information

License Number
76579
License State
MA
Taxonomy
Surgery, Surgical Critical Care · 2086S0102X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bruce J Simon, MD?

The NPI number of Bruce J Simon, MD is 1164420634. It was assigned on July 8, 2005 and is currently active in the NPPES registry.

What is the specialty of Bruce J Simon, MD?

Bruce J Simon, MD is registered under the primary taxonomy Surgery, Surgical Critical Care (code 2086S0102X), licensed in MA under license number 76579.

Where does Bruce J Simon, MD practice?

The practice location is 55 Lake Ave N, Department Of Surgery/Trauma/Critical Care, Worcester, MA 01655-0002. The office can be reached at 508-856-5288 (phone) or 508-856-4224 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164420634 directly on the NPPES registry website.

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