Bruce J Simon, M.D.
Bruce J Simon is a Surgical Critical Care Physician provider (Surgery) practicing in Worcester, MA, registered in the NPPES registry with NPI 1164420634 since 2005. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164420634 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Bruce J Simon |
| Credential | M.D. |
| Sex | Male |
| Practice address | 55 LAKE AVE N, DEPARTMENT OF SURGERY/TRAUMA/CRITICAL CARE, Worcester, MA, 01655 |
| Phone | 5088565288 |
| Fax | 5088564224 |
| Enumeration date | 2005-07-08 |
| Last updated in NPPES | 2024-11-19 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2086S0102X | Surgical Critical Care Physician | Primary | 76579 | MA |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110051978A | Medicaid | MA | — |
Copy-ready billing details
Provider: Bruce Simon, M.D. NPI: 1164420634 Taxonomy: 2086S0102X (Surgical Critical Care Physician) Address: 55 LAKE AVE N, DEPARTMENT OF SURGERY/TRAUMA/CRITICAL CARE, Worcester, MA, 01655
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1811813272 | Sam Kubwimana | Individual | Psychiatric/Mental Health Nurse Practitioner | Worcester, MA |
| 1487571634 | Deana Ramirez | Individual | Critical Care Medicine Registered Nurse | Worcester, MA |
| 1477556587 | James Liebmann | Individual | Medical Oncology Physician | Worcester, MA |
| 1831192301 | Daniel Han | Individual | Radiation Oncology Physician | Worcester, MA |
| 1750385514 | Frances Lagana | Individual | Podiatrist | Worcester, MA |
| 1679578793 | Seth Arum | Individual | Endocrinology, Diabetes & Metabolism Physician | Worcester, MA |
| 1366448813 | Yong Zhao | Individual | Blood Banking & Transfusion Medicine Physician | Worcester, MA |
| 1689672347 | Donna Russell | Individual | Certified Registered Nurse Anesthetist | Worcester, MA |
Verify this record
Cross-check NPI 1164420634 against the authoritative CMS record: view Bruce J Simon on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Is NPI 1164420634 active?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-11-19.