Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRUCE W MACKELLAR, MD
ActiveBRUCE W MACKELLAR, MD is a Family Medicine healthcare provider located in CANASERAGA, New York. NPI 1093769358 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CANASERAGA, NY
Registration Details
- NPI Number
- 1093769358
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2006 (20.258937352324 yrs)
- Last Updated
- Dec 30, 2025
- License
-
176089 (NY)
Practice Information
- Address
-
12 N CHURCH STCANASERAGA, NY, 148229721Browse NY providers · Browse ZIP 14822
- Phone
- 6075452111
- Fax
- 6075452100
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.