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DR. EVAN DAVID TYSON BRUCE MD
NPI 1003651068
Student in an Organized Health Care Education/Training Program in Lansing, MI

Active since July 01, 2024
1215 E MICHIGAN AVE, LANSING, MI 48912(517) 364-1000 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Evan David Tyson Bruce Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EVAN DAVID TYSON BRUCE MD (NPI 1003651068) is an individual student in an organized health care education/training program in Lansing, Michigan, licensed in Michigan (4351053702) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1003651068
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. EVAN DAVID TYSON BRUCECredential: MD
Location Address1215 E MICHIGAN AVELansing, MI 48912-1811
Mailing Address5228 Madison Ave Apt C7Okemos, MI 48864-1190 · (747) 287-7895
Phone(517) 364-1000
Sole ProprietorYes
Enumeration DateJuly 1, 2024
NPPES CertifiedJune 30, 2024
✔ NPI 1003651068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351053702
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1215 E MICHIGAN AVE, Lansing, MI 48912
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL FRANCIS BOUCHARD D.O.
Family Medicine
1215 E MICHIGAN AVE, OSTEOPATHIC INTERNSHIP SPARROW HOSPITAL
LANSING, MI 48912
Ingham County (231) 955-3360
DR. JESSICA FROST MD
Obstetrics & Gynecology
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-5610
MR. GARRETT SMIGELSKI PA-C
Physician Assistant
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-3380
DR. AMY RENEE DRABANT DO
Student in an Organized Health Care Education/Training Program
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-1000
JANA HAIDAR AHMAD MD
Family Medicine
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-5710
MR. ANDREW SIDNEY COOPER CRNA
Nurse Anesthetist, Certified Registered
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-2789
MS. KARI LYN FORRO CRNA
Nurse Anesthetist, Certified Registered
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-2789
RONALD L RHULE DO
Emergency Medicine
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-2223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Bruce's NPI number?

The NPI number for Evan Bruce is 1003651068. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Evan Bruce located?

Evan Bruce practices at 1215 E Michigan Ave, Lansing, MI 48912. The listed phone number is (517) 364-1000.

What is Evan Bruce's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Evan Bruce was last updated on July 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.