Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 10809 | NV |
N | 111NI0900X | Internist | 10809 | NV |
Y | 207RC0200X | Critical Care Medicine | 10809 | NV |
N | 207RP1001X | Pulmonary Disease | 10809 | NV |
NPI | 1003893751 |
---|---|
Provider Name | Dr. Bruce William Denney |
First Address | Reno, NV 89502-1576 |
Second Address | Reno, NV 89502-1576 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/12/2005 |
Last Update Date | 17/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100503671 | (05) | NV |
11444103 | CAQH (01) | |
H67869 | (02) |