Individual
BRUCE HUGHES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3160
Mailing address
PO BOX 1241, ELKHART, IN 46515-1241
(885) 691-9888
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01051993
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082232
ANTHEM
IN
05
—
104199384
—
MI
05
—
200275660
—
IN
01
—
930092122
RAIL ROAD MEDICARE
IN
Enumeration date
08/16/2005
Last updated
10/04/2016
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