DR. BRUCE DAVID GAYNOR MD
NPI 1972534253
Specialist in Santa Rosa, CA

Q: What is Bruce Gaynor's NPI number?

The NPI number for Bruce Gaynor is 1972534253. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is Bruce Gaynor's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Bruce Gaynor was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since July 05, 2006

4720 HOEN AVE, SANTA ROSA, CA 95405(707) 527-8222(707) 527-5318 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Bruce David Gaynor Md NPPES

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

DR. BRUCE DAVID GAYNOR MD (NPI 1972534253) is an individual specialist in Santa Rosa, California, licensed in California (G845350) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1972534253

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. BRUCE DAVID GAYNORCredential: MD

Location Address4720 HOEN AVESanta Rosa, CA 95405-7867

Mailing Address4720 Hoen AveSanta Rosa, CA 95405-7867 · (707) 527-8222 · Fax (707) 527-5318

Phone(707) 527-8222

Fax(707) 527-5318

Sole ProprietorYes

Enumeration DateJuly 5, 2006

Last NPPES UpdateJune 16, 2008

✔ NPI 1972534253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G845350

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedOphthalmologyTaxonomy 207W00000X · License G845350 (CA)

4720 HOEN AVE, Santa Rosa, CA 95405

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Other Identifiers 5

Medicare PIN00G845350CA

Medicare NSC3899760001CA

Other180041368CA · Medicare Railroad

Medicaid00G845350CA

Medicare UPING70889CA

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTIN DAN RUBINGER M.D.

Internal Medicine