Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE MARTIN ENNIS, M.D.
Active Sole ProprietorDR. BRUCE MARTIN ENNIS, M.D. is a Hospice and Palliative Medicine healthcare provider located in MANDEVILLE, Louisiana. NPI 1639134901 is currently active in the NPPES registry. Verify at CMS.
Hospice and Palliative Medicine · MANDEVILLE, LA
Registration Details
- NPI Number
- 1639134901
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2006 (20.353368041635 yrs)
- Last Updated
- Apr 12, 2023
- Licenses
-
201758 (LA)201758 (LA)201758 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
675 N CAUSEWAY BLVDMANDEVILLE, LA, 704484600Browse LA providers · Browse ZIP 70448
- Phone
- 9852003530
- Fax
- 9852022010
- Primary Specialty
-
Hospice and Palliative Medicine
207RI0011X
- Additional Specialty
- Cardiovascular Disease
- Additional Specialty
- Hospice and Palliative Medicine
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.