National Provider Identifier Database

BRUCE R MADDERN, MD – NPI #1528030418
Pediatric Otolaryngology

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.


Contact Information

BRUCE R MADDERN, MD
10475 CENTURION PKWY N
SUITE 302
JACKSONVILLE, FL32256-5003
Phone: 904-398-5437
Fax: 904-398-3077
Website:
Specialty Taxonomy Code
* Pediatric Otolaryngology 207YP0228X
Otolaryngology/Facial Plastic Surgery 207YX0905X

* Indicates primary specialty

NPI Profile & details for BRUCE R MADDERN

NPI Number 1528030418
Credentials MD
Entity Individual
Enumeration date 02/03/2006
Last updated 06/25/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME0056292
  • FL Medicaid: 061886100
  • FL Other: 2218700 AETNA
  • FL Other: 203211 AV MED
  • FL Other: 08675 BCBS
  • FL Other: 0205114006 CIGNA
  • FL Other: 12056336 MULTIPLAN
  • FL Other: P2759499 OXFORD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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