Provider Demographics
NPI:1457343899
Name:TURNER, BRUCE COLEMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:COLEMAN
Last Name:TURNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:BUILDING K OMEGA DR
Mailing Address - Street 2:OMEGA PROFESSIONAL CENTER SUITE 22
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713
Mailing Address - Country:US
Mailing Address - Phone:302-456-9394
Mailing Address - Fax:302-456-9334
Practice Address - Street 1:BUILDING K OMEGA DR
Practice Address - Street 2:OMEGA PROFESSIONAL CENTER SUITE 22
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713
Practice Address - Country:US
Practice Address - Phone:302-456-9394
Practice Address - Fax:302-456-9334
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10001683207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000131701Medicaid
DED01135Medicare UPIN