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BRUCE GREENWOOD NICKERSON MD
NPI 1215026521
Pediatrics - Pediatric Pulmonology in Orange, CA

Active since October 12, 2006
455 S MAIN ST, ORANGE, CA 92868(714) 532-8620(714) 289-4072 Get Directions Write a Review

NPPES record last updated: August 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bruce Greenwood Nickerson Md NPPES

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

BRUCE GREENWOOD NICKERSON MD (NPI 1215026521) is an individual pediatric pulmonology provider in Orange, California, licensed in California (G38843) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1215026521
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameBRUCE GREENWOOD NICKERSONCredential: MD
Location Address455 S MAIN STOrange, CA 92868-3835
Mailing Address455 S Main StOrange, CA 92868-3835 · (714) 289-4511 · Fax (714) 289-4788
Phone(714) 532-8620
Fax(714) 289-4072
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateAugust 8, 2008
✔ NPI 1215026521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in CA · G38843
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License G38843 (CA)
455 S MAIN ST, Orange, CA 92868
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Other Identifiers 3

OtherWG38843FCA · Medicare Ptan
Medicare UPINA47618CA
Medicaid00G388430CA

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.

PEDIATRIC SUBSPECIALTY FACULTY, INC.
Surgery (Pediatric Surgery)
455 S MAIN ST, GENERAL SURGERY
ORANGE, CA 92868
Orange County (714) 364-4050
PEI LIN CHANG M.D.
Pediatrics
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 558-2462
JENNIFER MICHELLE SHIVELY N.P.
Nurse Practitioner (Pediatrics, Critical Care)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 204-3277
ANTOINE SOLIMAN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 289-4511
DR. JEFFREY H HO D.O.
Pediatrics (Pediatric Gastroenterology)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 289-4099
DR. MARITA FORTADES MD
Pediatrics
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 532-8767
DR. SHARON KIM MD
Psychiatry & Neurology (Neurology)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 532-7601
MS. NANCY ANN VARNI CPNP
Nurse Practitioner (Pediatrics)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 532-8634

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 Bruce Nickerson's NPI number?

The NPI number for Bruce Nickerson is 1215026521. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Bruce Nickerson located?

Bruce Nickerson practices at 455 S Main St, Orange, CA 92868. The listed phone number is (714) 532-8620.

What is Bruce Nickerson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

When was this NPI record last updated?

The NPPES record for Bruce Nickerson was last updated on August 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.