Provider Demographics
NPI:1992860027
Name:DOPLER, BRUCE MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:BRUCE
Middle Name:MICHAEL
Last Name:DOPLER
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 1:24488 SUSSEX HWY
Mailing Address - Street 2:UNIT 6
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-8470
Mailing Address - Country:US
Mailing Address - Phone:302-628-7730
Mailing Address - Fax:302-628-7791
Practice Address - Street 1:24488 SUSSEX HWY
Practice Address - Street 2:UNIT 6
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-8470
Practice Address - Country:US
Practice Address - Phone:302-628-7730
Practice Address - Fax:302-628-7791
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC100050682084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD54817001OtherCAREFIRST
250692OtherUNITED HEALTHCARE
47373OtherCOVENTRY HEALTH CARE
000000207458OtherUNISON
2099910OtherAETNA
DE522044472OtherBLUE CROSS BLUE SHIELD
130016959OtherRAILROAD MEDICARE
DE0000927202Medicaid
522044472OtherCIGNA
2099910OtherAETNA
959762Medicare ID - Type UnspecifiedGRP PROVIDER NUMBER