1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Otolaryngology
  6. NPI Profile

DR. BRUCE ROBERT MADDERN MD
NPI 1528030418
Otolaryngology - Pediatric Otolaryngology in Jacksonville, FL

Active since February 03, 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: June 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bruce Robert Maddern Md NPPES

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

DR. BRUCE ROBERT MADDERN MD (NPI 1528030418) is an individual pediatric otolaryngology provider in Jacksonville, Florida, licensed in Florida (ME0056292) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1528030418
Entity TypeIndividualMale
Primary Taxonomy207YP0228X
Provider Legal NameDR. BRUCE ROBERT MADDERNCredential: MD
Location Address10475 CENTURION PKWY N, SUITE 302Jacksonville, FL 32256-5003
Mailing Address1033 Dr Martin Luther King Jr St N, Ste. 108St Petersburg, FL 33701-1547 · (727) 456-4250 · Fax (727) 346-1044
Phone(904) 398-5437
Fax(904) 398-3077
Sole ProprietorNo
Enumeration DateFebruary 3, 2006
Last NPPES UpdateJune 25, 2014
✔ NPI 1528030418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License✔ Licensed in FL · ME0056292
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 · License ME0056292 (FL)
10475 CENTURION PKWY N, Jacksonville, FL 32256
Open in Google Maps ↗

Other Identifiers 8

Other08675FL · Bcbs
Medicaid061886100FL
OtherP2759499FL · Oxford
Other2218700FL · Aetna
Other203211FL · Av Med
Other0205114006FL · Cigna
Other12056336FL · Multiplan
Medicare UPINB41875

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
BRUCE R MADDERN MD PA
Otolaryngology (Pediatric Otolaryngology)
10475 CENTURION PKWY N, SUITE 302
JACKSONVILLE, FL 32256
Duval County (904) 398-5437

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 Maddern's NPI number?

The NPI number for Bruce Maddern is 1528030418. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Bruce Maddern located?

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

What is Bruce Maddern'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 Maddern was last updated on June 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.