Provider Demographics
NPI:1134128713
Name:APPLE, BRUCE ALAN (MS,PT,ATC)
Entity Type:Individual
Prefix:MR
First Name:BRUCE
Middle Name:ALAN
Last Name:APPLE
Suffix:
Gender:M
Credentials:MS,PT,ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1888 ROUTE 70 E
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2178
Mailing Address - Country:US
Mailing Address - Phone:856-424-7524
Mailing Address - Fax:856-424-7599
Practice Address - Street 1:420 BAINBRIDGE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-1568
Practice Address - Country:US
Practice Address - Phone:215-629-1270
Practice Address - Fax:215-629-5531
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQAO03263225100000X
PA002052E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ555082OtherBC/BS PPO
PA5650040OtherAETNA PPO
PA1648279OtherBC/BS PPO
NJ2915916OtherAETNA PPO
0743058000OtherAMERIHEALTH
12272713OtherMULTIPLAN
0743058000OtherBC/BS HMO
12272713OtherMULTIPLAN
NJ2915916OtherAETNA PPO