DR. BRUCE ROBERT MADDERN MD
NPI 1528030418
Otolaryngology - Pediatric Otolaryngology in Jacksonville, FL
NPI Status: Active since February 03, 2006
Contact Information
10475 CENTURION PKWY N
SUITE 302
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 398-5437
Fax: (904) 398-3077
- Individual
- Male
- Otolaryngology
- Pediatric Otolaryngology
- CLIA Number: 10D2084363
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-22-2026
About BRUCE MADDERN
This page provides the complete NPI Profile along with additional information for Bruce Maddern, a provider established in Jacksonville, Florida with a medical specialization in Otolaryngology, focusing in pediatric otolaryngology . The healthcare provider is registered in the NPI registry with number 1528030418 assigned on February 2006. The practitioner's primary taxonomy code is 207YP0228X with license number ME0056292 (FL). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1528030418
- Provider Name
- DR. BRUCE ROBERT MADDERN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 10475 CENTURION PKWY N SUITE 302 JACKSONVILLE, FL 32256
- Location Phone
- (904) 398-5437
- Location Fax
- (904) 398-3077
- Mailing Address
- 1033 DR MARTIN LUTHER KING JR ST N STE. 108 ST PETERSBURG, FL 33701
- Mailing Phone
- (727) 456-4250
- Mailing Fax
- (904) 398-3077
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-03-2006
- Last Update Date
- 06-25-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology Pediatric Otolaryngology
- Taxonomy Code
- 207YP0228X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME0056292
- License State
- FL
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207YX0905X | Allopathic & Osteopathic Physicians | Otolaryngology | ME0056292 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 08675 | OTHER (01) | FL | BCBS |
| 061886100 | MEDICAID (05) | FL | |
| P2759499 | OTHER (01) | FL | OXFORD |
| 2218700 | OTHER (01) | FL | AETNA |
| 203211 | OTHER (01) | FL | AV MED |
| 0205114006 | OTHER (01) | FL | CIGNA |
| 12056336 | OTHER (01) | FL | MULTIPLAN |
| B41875 | MEDICARE UPIN (02) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2084363
- Facility Type
- Physician Office
- Certificate Effective Date
- September 23, 2024
- Certificate Expiration Date
- September 22, 2026
- Laboratory Director
- ANDREW R. SIMONSEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bruce Maddern to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1528030418, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JACKSONVILLE, FL 32256
JACKSONVILLE, FL 32256
JACKSONVILLE, FL 32256
JACKSONVILLE, FL 32256
JACKSONVILLE, FL 32256
JACKSONVILLE, FL 32256
JACKSONVILLE, FL 32256
JACKSONVILLE, FL 32256
JACKSONVILLE, FL 32256
JACKSONVILLE, FL 32256
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528030418, enumerated as an "individual" on February 03, 2006.
The provider is located at 10475 CENTURION PKWY N SUITE 302 JACKSONVILLE, FL 32256 and the phone number is (904) 398-5437.
Otolaryngology with taxonomy code 207YP0228X and a focus in Pediatric Otolaryngology.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid, Oxford. Please consult your insurance carrier or call the provider to verify.
