Provider Demographics
NPI:1669498564
Name:MURRAY, BRUCE HOWARD (MD)
Entity Type:Individual
Prefix:
First Name:BRUCE
Middle Name:HOWARD
Last Name:MURRAY
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 1:920 37TH PLACE SUITE 103
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960
Mailing Address - Country:US
Mailing Address - Phone:772-226-6461
Mailing Address - Fax:772-226-6460
Practice Address - Street 1:920 37TH PLACE SUITE 103
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960
Practice Address - Country:US
Practice Address - Phone:772-226-6461
Practice Address - Fax:772-226-6460
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301059880207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MID16094055Medicare PIN