Dr. Bruce H. Matt
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
705 Riley Hospital Dr Suite 0860
Indianapolis
, Indiana 46202-5128
Dr. Bruce H. Matt
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
705 Riley Hospital Dr Suite 0860
Indianapolis
, Indiana 46202-5128
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Dr. Bruce H. Matt
- 250 N Shadeland Ave
- Indianapolis, IN
- Zip : 46219-4959
- Phone :
Second Address
- Dr. Bruce H. Matt
- 705 Riley Hospital Dr Suite 0860
- Indianapolis, IN
- Zip : 46202-5128
- Fax : (317) 944-8080
- Phone : (317) 944-8620
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 01037542A | IN |
| Y | 207YP0228X | Pediatric Otolaryngology | 01037542A | IN |
National Provider Identifier
| NPI | 1013941558 |
|---|---|
| Provider Name | Dr. Bruce H. Matt |
| First Address | Indianapolis, IN 46219-4959 |
| Second Address | Indianapolis, IN 46202-5128 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 28/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100320610 | (05) | IN |
| A02846 | (02) | IN |
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.