Individual
DR. JASON C BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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