BRUCE MICHAEL SMALL MD NPI 1164533642

NPI Information

NPI: 1164533642
Provider Name: BRUCE MICHAEL SMALL, MD
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
220 RICHMOND AVE
BATAVIA, NY
ZIP 14020
Phone: (585) 345-2042
Get Directions

Bruce Michael Small, MD is a geriatric medicine internal medicine in Batavia, NY. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Bruce Michael Small, MD NPI is 1164533642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

220 RICHMOND AVE
BATAVIA, NY
ZIP 14020-227
Phone: (585) 345-2042
Fax: (585) 345-0211

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0300X	Internal Medicine	Geriatric Medicine	128047	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00650055	MEDICAID	NEW YORK
2	B36123	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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