BRUCE A MCLELLAND M.D.
NPI 1689762189
Dermatology in Peoria, IL

Active since October 10, 2006
5401 N KNOXVILLE AVE, SUITE 115, PEORIA, IL 61614(309) 691-2903(309) 691-2909 Get Directions Write a Review

NPPES record last updated: April 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bruce A Mclelland M.d. NPPES

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

BRUCE A MCLELLAND M.D. (NPI 1689762189) is an individual dermatology provider in Peoria, Illinois, licensed in Illinois (036056311) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1689762189
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameBRUCE A MCLELLANDCredential: M.D.
Location Address5401 N KNOXVILLE AVE, SUITE 115Peoria, IL 61614-5098
Mailing Address5401 N Knoxville Ave Ste 115Peoria, IL 61614-5068 · (309) 691-2903 · Fax (309) 691-2909
Fax(309) 691-2909
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateApril 15, 2014
NPI 1689762189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IL · 036056311
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5401 N KNOXVILLE AVE, Peoria, IL 61614

Other Identifiers 4

Medicaid036056311IL
Medicare UPINC45095IL
OtherP05833IL · Ptan
Medicare ID-Type Unspecified678830IL

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.

Physical Medicine & Rehabilitation
5401 N KNOXVILLE AVE, STE 117
PEORIA, IL 61614
Audiologist-Hearing Aid Fitter
5401 N KNOXVILLE AVE, SUITE 116
PEORIA, IL 61614
Clinic/Center (Medical Specialty)
5401 N KNOXVILLE AVE, SUITE 103
PEORIA, IL 61614
Nurse Practitioner (Women's Health)
5401 N KNOXVILLE AVE, SUITE 308
PEORIA, IL 61614
Physical Therapist
5401 N KNOXVILLE AVE, SUITE 218
PEORIA, IL 61614
Anesthesiology (Pain Medicine)
5401 N KNOXVILLE AVE, SUITE 416
PEORIA, IL 61614
Nurse Practitioner (Family)
5401 N KNOXVILLE AVE
PEORIA, IL 61614
Clinic/Center (Medical Specialty)
5401 N KNOXVILLE AVE, SUITE 107
PEORIA, IL 61614

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 Mclelland's NPI number?

The NPI number for Bruce Mclelland is 1689762189. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Bruce Mclelland located?

Bruce Mclelland practices at 5401 N Knoxville Ave Suite 115, Peoria, IL 61614. The listed phone number is (309) 691-2903.

What is Bruce Mclelland's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Bruce Mclelland was last updated on April 15, 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.