BRUCE PARK, M.D. A PROFESSIONAL CORPORATION
NPI 1851478358
Dermatology in Fullerton, CA
About Bruce Park, M.d. A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRUCE PARK, M.D. A PROFESSIONAL CORPORATION (NPI 1851478358), doing business as Bruce Park Md, is a healthcare organization registered as a dermatology in Fullerton, California and active in the NPI registry since November 2006. The organization lists Bruce S Park, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bruce Park, M.d. A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bruce Park, M.D. A Professional Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Park, M.D. A Professional Corporation's NPI number?
The NPI number for Bruce Park, M.D. A Professional Corporation is 1851478358. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider was formerly known as Bruce Park MD.
Where is Bruce Park, M.D. A Professional Corporation located?
Bruce Park, M.D. A Professional Corporation is located at 1966 E Chapman Ave Suite G, Fullerton, CA 92831. The listed phone number is (714) 525-0545.
What is Bruce Park, M.D. A Professional Corporation's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Bruce Park, M.D. A Professional Corporation enrolled in Medicare?
Yes. Bruce Park, M.D. A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bruce Park, M.D. A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Bruce Park, M.D. A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bruce Park, M.D. A Professional Corporation was last updated on June 5, 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.