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Individual

DR. BRUCE MITCHELL YERGIN

Active
Find providers by NPI
Individual

DR. BRUCE MITCHELL YERGIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME0021067
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0098365-00
FL MEDICAID - GROUP
FL
05
0141594-00
FL
01
215889
AVMED
FL
01
5362087
AETNA
FL
01
78027
BLUE CROSS BLUE SHIELD
FL
01
GR172A
MEDICARE - GROUP
FL
01
PO1615058
RR MEDICARE
FL
Enumeration date
09/20/2005
Last updated
05/21/2025
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