Bruce R Maddern MD PA
NPI 1225001589ActiveOrganization· Otolaryngology, Pediatric Otolaryngology· Jacksonville, FL
Otolaryngology, Pediatric Otolaryngology in Jacksonville, Florida, registered in NPPES in February 2006. The authorized official on file is Bruce R. Maddern, MD, President.
Overview
| NPI | 1225001589 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 8, 2006 |
| Last updated in NPPES | Sep 7, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology, Pediatric Otolaryngology Primary | 207YP0228X | — | — |
| Otolaryngology, Otolaryngology/Facial Plastic Surgery | 207YX0905X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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