Provider Demographics
NPI:1922077494
Name:ALEXANDER, CHRISTOPHER BRUCE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BRUCE
Last Name:ALEXANDER
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:PO BOX 573
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92593-0573
Mailing Address - Country:US
Mailing Address - Phone:951-600-1795
Mailing Address - Fax:951-308-1522
Practice Address - Street 1:39755 DATE ST STE 104
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-2007
Practice Address - Country:US
Practice Address - Phone:951-600-1795
Practice Address - Fax:951-308-1522
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG67863207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00279051OtherRAILROAD MEDICARE
4008200001Medicare NSC
CAF62565Medicare UPIN
P00279051OtherRAILROAD MEDICARE
F62565Medicare UPIN