ROBERT BRUCE, INC
NPI 1164847273
Physician Assistant - Surgical in San Jose, CA

Active since February 26, 2014
4950 CHERRY AVE, #41, SAN JOSE, CA 95118(408) 448-3693(408) 448-3693 Get Directions Write a Review

NPPES record last updated: February 26, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Physician Assistant
  • Surgical

About ROBERT BRUCE, INC

This page provides the complete NPI Profile along with additional information for Robert Bruce, Inc, a provider established in San Jose, California operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1164847273 assigned on February 2014. The practitioner's primary taxonomy code is 363AS0400X with license number PA20241 (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Robert Bruce Pa (Physician Assistant)

NPI
1164847273 Verify this NPI
Provider Name
ROBERT BRUCE, INC
Entity Type
Organization
Location Address
4950 CHERRY AVE #41 SAN JOSE, CA 95118
Location Phone
(408) 448-3693
Location Fax
(408) 448-3693
Mailing Address
PO BOX 18670 SAN JOSE, CA 95158
Mailing Phone
(408) 448-3693
Mailing Fax
(408) 448-3693
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-26-2014
Last Update Date
02-26-2014
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA20241
License State
CA

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT BRUCE PA

Authorized Official Title
PHYSICIAN ASSISTANT
Authorized Official Phone
(408) 448-3693

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PA20241OTHER (01)CAMEDICAL LICENSE

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Speech-Language Pathologist
4950 CHERRY AVE, APT 109
SAN JOSE, CA 95118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164847273, enumerated as an "organization" on February 26, 2014.

The provider is located at 4950 CHERRY AVE #41 SAN JOSE, CA 95118 and the phone number is (408) 448-3693.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.