RICHARD L BRUCK M D A PROFESSIONAL CORPORATION
NPI 1194913624
Specialist in Upland, CA

Active since October 10, 2007
591 N 13TH AVE, STE.3, UPLAND, CA 91786(951) 217-8640(909) 920-3379 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard L Bruck M D A Professional Corporation NPPES

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

RICHARD L BRUCK M D A PROFESSIONAL CORPORATION (NPI 1194913624) is a healthcare organization registered as a specialist in Upland, California and active in the NPI registry since October 2007. The organization lists Richard Lawrence Bruck, Owner, as its authorized official.

NPPES Registry Identity

NPI1194913624
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRICHARD L BRUCK M D A PROFESSIONAL CORPORATION
Location Address591 N 13TH AVE, STE.3Upland, CA 91786-4967
Mailing Address591 N 13th Ave, Ste.3Upland, CA 91786-4967 · (909) 985-5885 · Fax (909) 920-3379
Fax(909) 920-3379
Organization SubpartNo
Authorized OfficialRichard Lawrence BruckOwner · (951) 217-8640
Enumeration DateOctober 10, 2007
Last NPPES UpdateOctober 23, 2012
NPI 1194913624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · G30560
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
591 N 13TH AVE, Upland, CA 91786

Other Identifiers 2

Medicare UPINA44468CA
Medicare PINZZZ02043ZCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Cardiovascular Disease)
591 N 13TH AVE, STE 3
UPLAND, CA 91786
Dentist (General Practice)
591 N 13TH AVE, SUITE 4
UPLAND, CA 91786
Internal Medicine (Cardiovascular Disease)
591 N 13TH AVE, SUITE 3
UPLAND, CA 91786

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 Richard L Bruck M D A Professional Corporation's NPI number?

The NPI number for Richard L Bruck M D A Professional Corporation is 1194913624. It was assigned to this organization in the NPPES registry on October 10, 2007.

Where is Richard L Bruck M D A Professional Corporation located?

Richard L Bruck M D A Professional Corporation is located at 591 N 13th Ave Ste.3, Upland, CA 91786. The listed phone number is (951) 217-8640.

What is Richard L Bruck M D A Professional Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Richard L Bruck M D A Professional Corporation was last updated on October 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.