Individual
DR. BRUCE N SCHLAKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE STREET, JACKSON, MS 39216
(601) 984-2538
(601) 815-1854
Mailing address
2500 N STATE STREET, JACKSON, MS 39216
(601) 984-2538
(601) 815-1854
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
20032
MS
2085N0700X
Neuroradiology Physician
ME63631
FL
2085R0202X
Diagnostic Radiology Physician
20032
MS
2085R0202X
Diagnostic Radiology Physician
ME63631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157266
—
AL
05
—
375193701
—
FL
01
—
512G700003
MS MEDICARE - GROUP
MS
01
—
DG7781
RAILROAD GRP#
—
01
—
P00604717
RAILROAD MEDICARE
—
01
—
P01198276
RAILROAD MEDICARE PTAN
MS
Enumeration date
09/25/2006
Last updated
04/01/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us