# DR. BRUCE L TJADEN JR.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1477846046
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 94-07612 | KS | — |
| 2086S0129X | Vascular Surgery Physician | 25MA10936700 | NJ | Yes |
| 2086S0129X | Vascular Surgery Physician | R4153 | TX | — |

## Other

- **Enumeration date:** 05/16/2011
- **Last updated:** 11/30/2020