Provider Demographics
NPI:1043281488
Name:MORRIS, JAMES BRUCE (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:BRUCE
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10338 ORCHID RESERVE DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33412-3047
Mailing Address - Country:US
Mailing Address - Phone:561-630-8788
Mailing Address - Fax:
Practice Address - Street 1:10338 ORCHID RESERVE DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33412
Practice Address - Country:US
Practice Address - Phone:561-630-8788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-01
Last Update Date:2018-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME19671207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL054665800Medicaid
FL054665800Medicaid
D60351Medicare UPIN