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

Q: What is Bruce R Maddern MD PA's NPI number?

The NPI number for Bruce R Maddern MD PA is 1225001589. It was assigned to this organization in the NPPES registry on February 8, 2006.

Q: What is Bruce R Maddern MD PA's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

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: August 16, 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

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.

AFTAN NOELLE DELANEY DPT

Physical Therapist

10475 CENTURION PKWY N, SUITE 220
JACKSONVILLE, FL 32256

Duval County (904) 634-0640

ANANYA KUMAR

Technician, Other

10475 CENTURION PKWY N
JACKSONVILLE, FL 32256

Duval County (904) 854-2050

DR. CONCEPCION LATOZA AGNILA M.D.

Pediatrics

10475 CENTURION PKWY N
JACKSONVILLE, FL 32256

Duval County (904) 450-8090

THE SURGERY CENTER OF JACKSONVILLE, LLC

Clinic/Center (Ambulatory Surgical)

10475 CENTURION PKWY N
JACKSONVILLE, FL 32256

Duval County (352) 567-6502

DR. BEVERLY DENISE MCMILLIN MD

Otolaryngology (Pediatric Otolaryngology)

10475 CENTURION PKWY N, SUITE 302
JACKSONVILLE, FL 32256

Duval County (904) 398-5437

CORY GRANT PETERS PA

Physician Assistant (Surgical)

10475 CENTURION PKWY N, SUITE 220
JACKSONVILLE, FL 32256

Duval County (904) 634-0640

BRIAN D TARDIF PA

Physician Assistant (Surgical)

10475 CENTURION PKWY N, SUITE 220
JACKSONVILLE, FL 32256

Duval County (904) 634-0640

RYAN M FUNDERBURK AU.D.

Audiologist

10475 CENTURION PKWY N, SUITE 303
JACKSONVILLE, FL 32256

Duval County (904) 399-0350

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 R Maddern MD PA's NPI number?

The NPI number for Bruce R Maddern MD PA is 1225001589. It was assigned to this organization in the NPPES registry on February 8, 2006.

Where is Bruce R Maddern MD PA located?

Bruce R Maddern MD PA is located at 10475 Centurion Pkwy N Suite 302, Jacksonville, FL 32256. The listed phone number is (904) 398-5437.

What is Bruce R Maddern MD PA's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

When was this NPI record last updated?

The NPPES record for Bruce R Maddern MD PA was last updated on September 7, 2007. 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.