Provider Demographics
NPI:1841275187
Name:FINSTEAD, BRUCE ALFRED (MD)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:ALFRED
Last Name:FINSTEAD
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:435 ARDEN AVE
Mailing Address - Street 2:STE 550
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-1130
Mailing Address - Country:US
Mailing Address - Phone:818-240-1342
Mailing Address - Fax:818-240-9009
Practice Address - Street 1:435 ARDEN AVE
Practice Address - Street 2:STE 550
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-1130
Practice Address - Country:US
Practice Address - Phone:818-240-1342
Practice Address - Fax:818-240-9009
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-09
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG252792084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG25279Medicare PIN