Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE ALLEN GROOM, MD
Active Sole ProprietorDR. BRUCE ALLEN GROOM, MD is a Family Medicine healthcare provider located in MANDEVILLE, Louisiana. NPI 1639270382 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MANDEVILLE, LA
Registration Details
- NPI Number
- 1639270382
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2006 (19.739585525218 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
R4295 (AR)R4295 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
639 LOTUS DRIVE NSUITE BMANDEVILLE, LA, 70470Browse LA providers · Browse ZIP 70470
- Phone
- 9856266133
- Fax
- 9856266136
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in MANDEVILLE, LA
| Name | Credential | NPI |
|---|---|---|
| RICHELLE DENESE SCHIRO | MD | 1619975836 |
| DR. JAMES B FITZPATRICK | MD | 1952359028 |
| DR. ROBERT P GUILBAULT III | MD | 1275581092 |
| DR. DANIEL K JENS | MD | 1508814203 |
| DR. TIMOTHY L RIDDELL | MD | 1265488720 |
| DR. NATHALIE MASCHERPA-KERKOW | M.D. | 1578510988 |
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.