Bruce Greenwood Nickerson, MD
Bruce Greenwood Nickerson is a Pediatric Pulmonology Physician provider (Pediatrics) practicing in Orange, CA, registered in the NPPES registry with NPI 1215026521 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215026521 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Bruce Greenwood Nickerson |
| Credential | MD |
| Sex | Male |
| Practice address | 455 S MAIN ST, Orange, CA, 92868 |
| Phone | 7145328620 |
| Fax | 7142894072 |
| Enumeration date | 2006-10-12 |
| Last updated in NPPES | 2008-08-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2080N0001X | Neonatal-Perinatal Medicine Physician | Secondary | G38843 | CA |
| 2080P0214X | Pediatric Pulmonology Physician | Primary | G38843 | CA |
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 |
|---|---|---|---|
| 00G388430 | Medicaid | CA | — |
| WG38843F | Other | CA | MEDICARE PTAN |
Copy-ready billing details
Provider: Bruce Nickerson, MD NPI: 1215026521 Taxonomy: 2080P0214X (Pediatric Pulmonology Physician) Address: 455 S MAIN ST, Orange, CA, 92868
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1033191473 | Nancy Varni | Individual | Pediatric Nurse Practitioner | Orange, CA |
| 1942284906 | Christine Betzold | Individual | Family Nurse Practitioner | Orange, CA |
| 1497723498 | Jane Donat | Individual | Neurology with Special Qualifications in Child Neurology Physician | Orange, CA |
| 1770551350 | Amanda Fernandez | Individual | Neurology with Special Qualifications in Child Neurology Physician | Orange, CA |
| 1083676662 | Bernard Hannam | Individual | Neonatal-Perinatal Medicine Physician | Orange, CA |
| 1982667820 | Lawrence Wickham | Individual | Neonatal-Perinatal Medicine Physician | Orange, CA |
| 1841240769 | Hoang Nguyen | Individual | Child & Adolescent Psychiatry Physician | Orange, CA |
| 1003868746 | Antoine Soliman | Individual | Neonatal-Perinatal Medicine Physician | Orange, CA |
Verify this record
Cross-check NPI 1215026521 against the authoritative CMS record: view Bruce Greenwood Nickerson 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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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-08-08.