Bruce Wishnov DO PA
NPI 1316014590ActiveOrganization· Family Medicine· Boca Raton, FL
Family Medicine in Boca Raton, Florida, registered in NPPES in November 2006. The authorized official on file is Bruce Wishnov, DO, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316014590 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 30, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | FL |
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) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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