Provider Demographics
NPI:1790059665
Name:BRUCE, JOSHUA (DC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:BRUCE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7051 COMMERCE CIR
Mailing Address - Street 2:B
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-8028
Mailing Address - Country:US
Mailing Address - Phone:925-462-5557
Mailing Address - Fax:925-462-5560
Practice Address - Street 1:7051 COMMERCE CIR
Practice Address - Street 2:B
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-8028
Practice Address - Country:US
Practice Address - Phone:925-462-5557
Practice Address - Fax:925-462-5560
Is Sole Proprietor?:No
Enumeration Date:2012-02-23
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32212111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor