Dr. Thomas E Bruderly
Otolaryngology/Facial Plastic Surgery
395 E Market St
Akron
, Ohio 44304-1542
Dr. Thomas E Bruderly
Otolaryngology/Facial Plastic Surgery
395 E Market St
Akron
, Ohio 44304-1542
(216) 201-7237
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Thomas E Bruderly
- 20800 Harvard Rd 2nd Floor
- Highland Hills, OH
- Zip : 44122-7251
- Fax : (216) 201-7237
- Phone : (216) 358-2315
Second Address
- Dr. Thomas E Bruderly
- 395 E Market St
- Akron, OH
- Zip : 44304-1542
- Fax : (330) 762-1224
- Phone : (330) 762-8959
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 34-00-6379 | OH |
National Provider Identifier
| NPI | 1164493896 |
|---|---|
| Provider Name | Dr. Thomas E Bruderly |
| First Address | Highland Hills, OH 44122-7251 |
| Second Address | Akron, OH 44304-1542 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/01/2006 |
| Last Update Date | 31/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0258500 | (05) | OH |
| G29157 | (02) | OH |
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.