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Bruce R Maddern MD PA

Pediatric Otolaryngology Physician in Jacksonville, FL · enumerated 2006 · authorized official Bruce Maddern, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225001589

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Registry record

Entity type Organization (Type 2)
Legal business name Bruce R Maddern MD PA
Practice address 10475 Centurion Pkwy N, Suite 302, Jacksonville, FL, 32256
Phone (904) 398-5437
Fax (904) 398-3077
Enumeration date Feb 8, 2006
Last updated in NPPES Sep 7, 2007

Taxonomy & classification

207YP0228X Pediatric Otolaryngology Physician Allopathic & Osteopathic Physicians Primary
207YX0905X Otolaryngology/Facial Plastic Surgery Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Bruce Maddern
Title President
Phone (904) 398-5437

Other identifiers

Identifier Type State Issuer
8651 Other FL AV MED
45553 Other - BC/BS OF FL

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.

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Frequently asked questions

What type of organization is Bruce R Maddern MD PA?
Bruce R Maddern MD PA is registered in NPPES as a Pediatric Otolaryngology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-09-07.