Individual
BRUCE A SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6420 DUTCHMANS PKWY, 380, LOUISVILLE, KY 40205-3372
(502) 894-8441
(502) 894-4453
Mailing address
6420 DUTCHMANS PKWY, 380, LOUISVILLE, KY 40205-3372
(502) 894-8441
(502) 894-4453
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01041529B
IN
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
29592
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045446
ANTHEM FACET NUMBER
KY
01
—
04006864
RAIL ROAD MEDICARE
KY
05
—
100347690A
—
IN
05
—
64295926
—
KY
Enumeration date
07/08/2005
Last updated
01/12/2017
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