MR. BRUCE RICHARD BACON RN
NPI 1720097371
Registered Nurse - Rehabilitation in Milwaukee, WI
Active since August 05, 2006
About Mr. Bruce Richard Bacon Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BRUCE RICHARD BACON RN (NPI 1720097371) is an individual rehabilitation provider in Milwaukee, Wisconsin, licensed in Wisconsin (122292-30) and active in the NPI registry since August 2006.
NPPES Registry Identity
NPI1720097371
Entity TypeIndividualMale
Primary Taxonomy163WR0400X
Provider Legal NameMR. BRUCE RICHARD BACONCredential: RN
Location Address5000 W NATIONAL AVEMilwaukee, WI 53295-0001
Mailing Address2232 W Glen Hills CtGlendale, WI 53209-3353 · (414) 540-0772
Phone(414) 384-2000
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720097371 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · RehabilitationNursing Service Providers
Taxonomy Code163WR0400X
License✔ Licensed in WI · 122292-30
5000 W NATIONAL AVE, Milwaukee, WI 53295
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.
Nurse Practitioner (Adult Health)
5000 W NATIONAL AVE
MILWAUKEE, WI 53295
MILWAUKEE, WI 53295
Nurse Practitioner (Family)
5000 W NATIONAL AVE, 10AN- SCI UNIT
MILWAUKEE, WI 53295
MILWAUKEE, WI 53295
Nurse Practitioner (Family)
5000 W NATIONAL AVE
MILWAUKEE, WI 53295
MILWAUKEE, WI 53295
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720097371, enumerated as an "individual" on August 05, 2006.
The provider is located at 5000 W NATIONAL AVE MILWAUKEE, WI 53295 and the phone number is (414) 384-2000.
Registered Nurse with taxonomy code 163WR0400X and a focus in Rehabilitation.
