Bruce D. Blumberg
Clinical Genetics (M.D.)
275 W Macarthur Blvd
Oakland
, California 94611-5641
Bruce D. Blumberg
Clinical Genetics (M.D.)
275 W Macarthur Blvd
Oakland
, California 94611-5641
(510) 752-1000
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Bruce D. Blumberg
- 275 W Macarthur Blvd
- Oakland, CA
- Zip : 94611-5641
- Phone : (510) 752-1000
Second Address
- Bruce D. Blumberg
- 275 W Macarthur Blvd
- Oakland, CA
- Zip : 94611-5641
- Phone : (510) 752-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | G30453 | CA |
National Provider Identifier
| NPI | 1417035908 |
|---|---|
| Provider Name | Bruce D. Blumberg |
| First Address | Oakland, CA 94611-5641 |
| Second Address | Oakland, CA 94611-5641 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 22/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G304530 | (05) | CA |
| C36012 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.