Dr. Bruce N. Schlakman MD
Neuroradiology Physician in Jackson, MS(View on Map)
Full Name
Dr. Bruce N Schlakman MD
NPI Number
1093815565
NPI Type
Individual Provider
Gender
Male
Enumeration Date
09/25/2006
Specialties
(Taxonomies)Code
2085N0700X
2085R0202X
Primary Taxonomy
Yes
No
Licenses
State
Florida
Mississippi
License Number
ME63631
20032
Contact
Information
Purpose
Mailing
Location
Address
2500 N STATE STREET
2500 N STATE STREET
City
Jackson
Jackson
State
MS
MS
Postal Code
39216
39216
Country
US
US
Telephone Number
(601) 984-2538
(601) 984-2538
Identifiers
Identifier
P00604717
P01198276
157266
375193701
512G700003
DG7781
Identifier State
Unknown
MS
AL
FL
MS
Unknown
Identifier Issuer
RAILROAD MEDICARE
RAILROAD MEDICARE PTAN
Unknown
Unknown
MS MEDICARE - GROUP
RAILROAD GRP#
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/01/2014
Provider Address
Other Neuroradiology Physicians in Jackson, Mississippi:
Ellen Parker MD
Jackson, MSSpecialties: Neuroradiology Physician (Primary)Diagnostic Radiology Physician