Provider Demographics
NPI:1831578764
Name:BRUCE, ADRIANN (MD)
Entity type:Individual
Prefix:DR
First Name:ADRIANN
Middle Name:
Last Name:BRUCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 D KAWAIHAU ROAD
Mailing Address - Street 2:
Mailing Address - City:KAPAIA
Mailing Address - State:HI
Mailing Address - Zip Code:96746
Mailing Address - Country:US
Mailing Address - Phone:808-240-0170
Mailing Address - Fax:808-822-9298
Practice Address - Street 1:4800 SUITE D KAWAIHAU ROAD
Practice Address - Street 2:
Practice Address - City:KAPAIA
Practice Address - State:HI
Practice Address - Zip Code:96746
Practice Address - Country:US
Practice Address - Phone:808-240-0170
Practice Address - Fax:808-822-9298
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-19731207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine