DR. BRUCE JAMES MACK M.D.
NPI 1013958339
Psychiatry & Neurology - Neurology in Golden Valley, MN

Q: What is Bruce Mack's NPI number?

The NPI number for Bruce Mack is 1013958339. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Q: What is Bruce Mack's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Bruce Mack was last updated on July 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 09, 2006

4225 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422(763) 588-0661(763) 287-2310 Get Directions Write a Review

NPPES record last updated: July 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Bruce James Mack M.d. NPPES

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

DR. BRUCE JAMES MACK M.D. (NPI 1013958339) is an individual neurology provider in Golden Valley, Minnesota, licensed in Minnesota (40493) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1013958339

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. BRUCE JAMES MACKCredential: M.D.

Location Address4225 GOLDEN VALLEY RDGolden Valley, MN 55422-4215

Mailing Address4225 Golden Valley RdGolden Valley, MN 55422-4215 · (763) 588-0661 · Fax (763) 287-2310

Phone(763) 588-0661

Fax(763) 287-2310

Sole ProprietorNo

Enumeration DateJune 9, 2006

Last NPPES UpdateJuly 11, 2007

✔ NPI 1013958339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in MN · 40493

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

4225 GOLDEN VALLEY RD, Golden Valley, MN 55422

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Other Identifiers 7

Medicare UPINC08477MN

Other35Q98MAMN · Bcbs Of Mn

Other769546MN · America's Ppo

Other0500046MN · Medica

Other1015838MN · Preferred One

Medicaid32438000WI

OtherHP24316MN · Healthpartners

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.

BRENT BERRY M.D./PH.D.

Psychiatry & Neurology (Neurology)