Individual
DR. JASON C BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 498-6540
(402) 498-6387
Mailing address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 280-8100
(402) 280-8103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23674
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0723270
—
IA
05
—
1201587
—
NE
05
—
1201598
—
NE
05
—
1201599
—
NE
05
—
1201600
—
NE
05
—
1201601
—
NE
05
—
1201602
—
NE
05
—
1201603
—
NE
05
—
1201604
—
NE
05
—
1201605
—
NE
05
—
1723270
—
IA
01
—
251096
MIDLANDS CHOICE
NE
01
—
32332
BCBS OF NE
NE
Enumeration date
11/22/2006
Last updated
02/20/2013
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