Male or Other

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:

Male or Other

Jeffrey Hooker

Jackson, MS

Specialty: Neuroradiology Physician (Primary)

Female

Ellen Parker MD

Jackson, MS

Specialties: Neuroradiology Physician (Primary)Diagnostic Radiology Physician