Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL EUGENE BRUCE, ATC, LAT
Active Sole ProprietorRUSSELL EUGENE BRUCE, ATC, LAT is a Sports Medicine (PM&R) healthcare provider located in WEST SPRINGFIELD, Massachusetts. NPI 1871231381 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · WEST SPRINGFIELD, MA
Registration Details
- NPI Number
- 1871231381
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2022 (4.1941382685057 yrs)
- Last Updated
- May 24, 2022
- License
-
2302 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
425 PIPER RDWEST SPRINGFIELD, MA, 010891799Browse MA providers · Browse ZIP 01089
- Phone
- 4132633400
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
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.