Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588632780 Individual Practitioner Male Practitioner

Dr. Bruce Stewart West , MD

Pediatrics • Fernandina Beach, FL

Professional Overview & Biography Verified Profile Summary

Dr. Bruce West, MD is a registered healthcare professional specializing in Pediatrics in Fernandina Beach, FL. Practice services are available at 1340 S 18TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1340 S 18th St
#203

Fernandina Beach, FL 320344799

Telephone 9042617707
Fax 9072618616
Associated Practice Facility / Clinic
🏢 Ackerman Cancer Center, P.a. Facility NPI 1134145659

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fernandina Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Fernandina Beach, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME99878

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License VA 0101042844

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
280146900 (FL)
Medicaid State Provider ID
6734952 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Amelia Phillips , ARNP

Nurse Practitioner - Pediatrics

NPI 1770987869

Advanced Registered Nurse Practitioner

Raeann Alboher , ARNP

Nurse Practitioner - Pediatrics

NPI 1871856146

Advanced Registered Nurse Practitioner

Dr. Tae Rho , MD

Pediatrics - Adolescent Medicine

NPI 1932378973

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2015

Registered at 1340 S 18TH ST, #203, FERNANDINA BEACH, FL 320344799 (Tel: 9042617707)

📍
Updated Business Mailing Address August 17, 2015

Registered at 1340 S 18TH ST, #203, FERNANDINA BEACH, FL 320344799 (Tel: 9042617707)

👤
Provider Name / Credentials Updated August 17, 2015

Recorded as BRUCE WEST, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2015

Pediatrics (License #ME99878 in FL)

🟢
Initial NPI Registration & Enumeration March 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588632780
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2006
Last Update: August 17, 2015
Sole Proprietor: Yes

Mailing Address

1340 S 18th St, #203

Fernandina Beach, FL 320344799

Phone: 9042617707

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.