BRUCE R MADDERN MD PA
NPI 1225001589
Otolaryngology - Pediatric Otolaryngology in Jacksonville, FL

Q: What is the provider's specialty?

The provider's specialty is Otolaryngology with taxonomy code 207YP0228X and a focus in Pediatric Otolaryngology.

Active since February 08, 2006

10475 CENTURION PKWY N, SUITE 302, JACKSONVILLE, FL 32256(904) 398-5437(904) 398-3077 Get Directions Write a Review

NPPES record last updated: September 7, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Bruce R Maddern Md Pa NPPES

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

BRUCE R MADDERN MD PA (NPI 1225001589) is a healthcare organization registered as a pediatric otolaryngology in Jacksonville, Florida and active in the NPI registry since February 2006. The organization lists Bruce R Maddern, President, as its authorized official.

NPPES Registry Identity

NPI1225001589

Entity TypeOrganization

Primary Taxonomy207YP0228X

Legal Business NameBRUCE R MADDERN MD PA

Location Address10475 CENTURION PKWY N, SUITE 302Jacksonville, FL 32256-5003

Mailing Address10475 Centurion Pkwy N, Suite 302Jacksonville, FL 32256-5003 · (904) 398-5437 · Fax (904) 398-3077

Phone(904) 398-5437

Fax(904) 398-3077

Organization SubpartNo

Authorized OfficialBruce R MaddernPresident · (904) 398-5437

Enumeration DateFebruary 8, 2006

Last NPPES UpdateSeptember 7, 2007

✔ NPI 1225001589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207YP0228X

Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X

10475 CENTURION PKWY N, Jacksonville, FL 32256

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Other Identifiers 2

Other45553Bc/bs Of Fl

Other8651FL · Av Med

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP