1. Home
  2. Directory
  3. Washington
  4. Lakewood
  5. Family Medicine
  6. NPI Profile

DR. BRUCE WAYNE HIGGINBOTHAM MD
NPI 1679544225
Family Medicine in Lakewood, WA

Active since January 31, 2006
10510 GRAVELLY LAKE DR SW, COMMUNITY HEALTH CARE, LAKEWOOD, WA 98499(253) 722-1837(253) 722-1851 Get Directions Write a Review

NPPES record last updated: April 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bruce Wayne Higginbotham Md NPPES

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

DR. BRUCE WAYNE HIGGINBOTHAM MD (NPI 1679544225) is an individual family medicine provider in Lakewood, Washington, licensed in Washington (MD00043885) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1679544225
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BRUCE WAYNE HIGGINBOTHAMCredential: MD
Location Address10510 GRAVELLY LAKE DR SW, COMMUNITY HEALTH CARELakewood, WA 98499-5036
Mailing Address101 E 26th StreetTacoma, WA 98421 · (253) 722-1837 · Fax (253) 722-1851
Phone(253) 722-1837
Fax(253) 722-1851
Sole ProprietorNo
Enumeration DateJanuary 31, 2006
Last NPPES UpdateApril 2, 2012
✔ NPI 1679544225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00043885
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License MD00043885 (WA)
10510 GRAVELLY LAKE DR SW, Lakewood, WA 98499
Open in Google Maps ↗

Other Identifiers 3

OtherP00385219AR · Railroad Medicare
Medicaid164111001AR
Medicare PIN5N787AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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.

MARISOL SALAZAR
Physician Assistant (Medical)
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 597-4550
COMMUNITY HEALTH CARE
Clinic/Center (Community Health)
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 589-7030
JAIME GERALDO YEVERINO-FLORES MD
Internal Medicine
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 589-7030
NORMA CASILLAS
Community Health Worker
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 589-7030
JESSICA DAWN GILDNER RDH
Dental Hygienist
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 589-7188
CONSTANCE BLAIR CAMPBELL MD
Family Medicine
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 589-7030
MR. PAUL FAILLACE RN
Registered Nurse
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 589-7030
DR. LILY SIOELI KWEE DMD
Dentist (General Practice)
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 589-7188

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 Higginbotham's NPI number?

The NPI number for Bruce Higginbotham is 1679544225. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Bruce Higginbotham located?

Bruce Higginbotham practices at 10510 Gravelly Lake Dr SW Community Health Care, Lakewood, WA 98499. The listed phone number is (253) 722-1837.

What is Bruce Higginbotham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Bruce Higginbotham accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Bruce Higginbotham 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 Higginbotham was last updated on April 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.