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Bruce Patrick Mcclellan

Podiatrist Prosthetist

1122 E Front St
Tyler , Texas 75702-8414

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Image

Bruce Patrick Mcclellan

Podiatrist Prosthetist

1122 E Front St
Tyler , Texas 75702-8414

(903) 595-3862

Write a Review Save Call

Bruce Patrick Mcclellan

Podiatrist Prosthetist

1122 E Front St
Tyler , Texas 75702-8414

(903) 595-3862 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Podiatrist
  • Prosthetist

Languages spoken

  • English

Location

1122 E Front St Tyler , Texas 75702-8414

First Address

  • Bruce Patrick Mcclellan
  • 1122 E Front St
  • Tyler, TX
  • Zip : 75702-8414
  • Fax : (903) 595-3862
  • Phone : (903) 592-6574

Second Address

  • Bruce Patrick Mcclellan
  • 1122 E Front St
  • Tyler, TX
  • Zip : 75702-8414
  • Fax : (903) 595-3862
  • Phone : (903) 592-6574

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FAQs


Where did Bruce Patrick Mcclellan attend graduate school?

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Where did Bruce Patrick Mcclellan do his residency?

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Where did Bruce Patrick Mcclellan do his fellowship?

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Is Bruce Patrick Mcclellan board certified?

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In what state does Bruce Patrick Mcclellan practice in?

Texas

Where is Bruce Patrick Mcclellan ’s practice located?

1122 E Front St , Tyler, Texas, 75702-8414

What is Bruce Patrick Mcclellan ’s gender?

Male

Is Bruce Patrick Mcclellan a sole practitioner?

No

Is Bruce Patrick Mcclellan accepting new patients?

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What languages does Bruce Patrick Mcclellan speak?

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Does Bruce Patrick Mcclellan accept insurance?

Yes, Bruce Patrick Mcclellan accepts insurance

Does Bruce Patrick Mcclellan offers telemedicine?

Bruce Patrick Mcclellan has not indicated if he offers telemedicine

What is Bruce Patrick Mcclellan ’s professional license number?

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What is Bruce Patrick Mcclellan ’s NPI number?

1104976182

Does Bruce Patrick Mcclellan have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 213E00000X Podiatrist 25 TX
N 222Z00000X Podiatrist 25 TX
N 224P00000X Prosthetist 25 TX

National Provider Identifier

NPI 1104976182
Provider Name Bruce Patrick Mcclellan
First Address Tyler, TX 75702-8414
Second Address Tyler, TX 75702-8414
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 11/01/2007
Last Update Date 08/07/2007

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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