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Bruce Greenwood Nickerson, MD
Pediatric Pulmonology Physician in Orange, California
NPI 1215026521

Bruce Greenwood Nickerson is a Pediatric Pulmonology Physician based in Orange, CA and is specialized in Pediatric Pulmonology. Bruce Greenwood Nickerson practices in Orange, CA and has the professional credentials of MD. The NPI Number for Bruce Greenwood Nickerson is 1215026521 and holds a License No. G38843 (California).

The current practice location address for Bruce Greenwood Nickerson is 455 S Main St, Orange, CA and can be reached out via phone at 714-532-8620 and via fax at 714-289-4072.

Location: 455 S Main St, Orange, CA, 92868-3835
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215026521
Provider Name
Bruce Greenwood Nickerson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
455 S Main St, Orange, CA, 92868-3835
Phone Number
714-532-8620
Fax Number
714-289-4072
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G388430 05 CA
WG38843F 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
455 S Main St
City
Orange
State
California
Zip
92868-3835
Phone Number
714-532-8620
Fax Number
714-289-4072
person
Provider Business Mailing Address Details
Address
455 S Main St
City
Orange
State
California
Zip
92868-3835
Phone Number
714-532-8620
Fax Number
714-289-4072
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neonatal-Perinatal Medicine
Taxonomy
2080N0001X
License No.
G38843 (California)
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Pulmonology
Taxonomy
2080P0214X
License No.
G38843 (California)
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
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