BRUCE S. WEST, MD
NPI 1477761625
Clinic/Center - Primary Care in Fernandina Beach, FL

Active since May 20, 2007CLIA 10D0266875 · Waiver
1340 S 18TH ST, STE. 203, FERNANDINA BEACH, FL 32034(904) 261-7707(904) 261-8616 Get Directions Write a Review

NPPES record last updated: August 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bruce S. West, Md NPPES

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

BRUCE S. WEST, MD (NPI 1477761625) is a healthcare organization registered as a primary care in Fernandina Beach, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Bruce S West, Owner, as its authorized official.

NPPES Registry Identity

NPI1477761625
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBRUCE S. WEST
Location Address1340 S 18TH ST, STE. 203Fernandina Beach, FL 32034-4799
Mailing Address1340 S 18th St, Ste. 203Fernandina Beach, FL 32034-4799 · (904) 261-7707 · Fax (904) 261-8616
Fax(904) 261-8616
Organization SubpartNo
Authorized OfficialBruce S WestOwner · (904) 261-7707
Enumeration DateMay 20, 2007
Last NPPES UpdateAugust 17, 2015
NPI 1477761625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in FL · ME99878
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X · License 0101042844 (VA)
1340 S 18TH ST, Fernandina Beach, FL 32034

Other Names 1

Other NameBruce S. West, Md

Other Identifiers 4

Medicare UPINF77792VA
Medicaid006734952VA
Medicaid113328677AGA
Medicaid280146900FL

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0266875

Bruce S West MD · Fernandina Beach, FL
Active · expires Jun 8, 2028
CLIA Number10D0266875
Laboratory TypePhysician Office
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorBruce S. West
Laboratory Phone(904) 261-7707
Laboratory LocationBruce S West MD1340 S 18th St Ste 203, Fernandina Beach, FL 32034
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Radiology (Radiation Oncology)
1340 S 18TH ST, SUITE 103
FERNANDINA BEACH, FL 32034
Nurse Practitioner (Family)
1340 S 18TH ST
AMELIA ISLAND, FL 32034
Otolaryngology
1340 S 18TH ST, SUITE 102
FERNANDINA, FL 32034
Pediatrics
1340 S 18TH ST, #203
FERNANDINA BEACH, FL 32034
Otolaryngology
1340 S 18TH ST, SUITE 102
FERNANDINA, FL 32034
Surgery
1340 S 18TH ST, SUITE 104
FERNANDINA BEACH, FL 32034
Family Medicine
1340 S 18TH ST, SUITE 204
FERNANDINA BEACH, FL 32034
Physician Assistant (Medical)
1340 S 18TH ST, #204
FERNANDINA BEACH, FL 32034

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 S. West's NPI number?

The NPI number for Bruce S. West is 1477761625. It was assigned to this organization in the NPPES registry on May 20, 2007. The provider is also known as Bruce S. West, MD.

Where is Bruce S. West located?

Bruce S. West is located at 1340 S 18th St Ste. 203, Fernandina Beach, FL 32034. The listed phone number is (904) 261-7707.

What is Bruce S. West's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Bruce S. West hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0266875) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bruce S. West accept?

Health plans from AvMed list Bruce S. West as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bruce S. West was last updated on August 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.