Provider Demographics
NPI:1528415015
Name:BRUCE, JAMES III (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:BRUCE
Suffix:III
Gender:M
Credentials:DO
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Mailing Address - Street 1:1307 FEDERAL ST STE B300
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4775
Mailing Address - Country:US
Mailing Address - Phone:412-359-3751
Mailing Address - Fax:412-359-8439
Practice Address - Street 1:320 E NORTH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-359-3030
Practice Address - Fax:412-359-3060
Is Sole Proprietor?:No
Enumeration Date:2016-05-16
Last Update Date:2021-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS019993207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103238963Medicaid